Currently, the Hemospray instructions for use states "Potential complications: when spraying in the retroflexed position, Hemospray powder may adhere to the outside of the endoscope. This may result in difficulty repositioning / removing the endoscope, particularly if passing through a strictured area." The risk to health section of this letter provides additional information that is not currently in the Hemospray instructions for use. Recall start date: May 23, 2023