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Urgent Medical Device Recall

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Endoscopy T 01480 423200 Smith & Nephew F 01480 423201 Endoscopy House,

Cardinal Park, Godmanchester, Huntingdon PE29 2SN

Smith & Nephew Endoscopy is a trading division of Smith & Nephew Healthcare Ltd. Registered in England and Wales No. 156031.

Registered office: Healthcare House, Goulton Street, Hull. HU3 4DJ

5 January 2012

Name Title Dept Hospital Address 1 Address 2 Address 3 Address 4

Urgent Medical Device Recall

Smith & Nephew Endoscopy Dyonics Power ll Control Unit PRODUCT CODE 72200873

All serial numbers from AAX5001 to AAX8067

Dear Customer,

Smith & Nephew have been notified that the above Control Unit is missing an electromagnetic interference (EMI) gasket. As a precautionary measure, Smith &

Nephew will be performing a field corrective action to replace the missing gasket.

There is a small, potential risk that, during a procedure, the DYONICS POWER ll Control Unit could radiate emissions and affect other electrical equipment in use. This includes interference with monitors or sensors and inadvertent control parameter changes to other devices in the operating room.

Our records show that this item has been despatched to you recently. A Smith &

Nephew representative will be in contact with you to install the capacitive filter. Please complete the declaration on the following page by inserting the number of items held and return the form to FAX 01480 423211

The Medicines and Healthcare Products Regulatory Agency have been informed of this recall.

Yours sincerely,

Tony Horn

Quality & Regulatory Manager

(2)

Endoscopy T 01480 423200 Smith & Nephew F 01480 423201 Endoscopy House,

Cardinal Park, Godmanchester, Huntingdon PE29 2SN

Smith & Nephew Endoscopy is a trading division of Smith & Nephew Healthcare Ltd. Registered in England and Wales No. 156031.

Registered office: Healthcare House, Goulton Street, Hull. HU3 4DJ

Fax to, Smith & Nephew Endoscopy , on 01480 423211. Please return this declaration by 31 January 2012.

DECLARATION

Smith & Nephew Endoscopy Dyonics Power ll Control Unit PRODUCT CODE 72200873

All serial numbers from AAX5001 to AAX8067

I can confirm that I have the following numbers of affected items in our stock.

(please include a zero in the quantity column, if your stock is nil)

Product Code Lot Number Quantity

72200873 All serial numbers from AAX5001 to

AAX8067

Where applicable, these have been segregated awaiting shipping and return instructions from Smith & Nephew Customer Care Department, who have been contacted regarding this matter.

________________ ______________________ ___________________

Signed Print Name Position

__________________________________________ ___________________

Organisation / Hospital Date

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