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Import Alert 89-13

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(Note: This import alert represents the Agency's current guidance to FDA field personnel regarding the manufacturer(s) and/or products(s) at issue. It does not create or confer any rights for or on any person, and does not operate to bind FDA or the public).

Import Alert # 89-13
Published Date: 03/18/2011
Type: DWPE
Import Alert Name:
"Detention Without Physical Examination of Electrode Lead Wires and Patient Cables That Do Not Comply With the Applicable Performance Standard"

Reason for Alert:
A performance standard was promulgated for electrode lead wires and patient cables to assure their safe use.

As of May 9, 2000, this standard applies to all electrode lead wires and patient cables used with all devices unless there is a specific variance or exemption issued by CDRH. Those shipments of electrode lead wires and patient cables, which do not conform to this standard, should be placed under detention without physical examination and subsequently refused entry if not brought into compliance.

Once evidence is provided that the electrode lead wires and patient cables comply with this standard (or an approved variance or exemption), they will be removed from the Red List of this alert. A list of approved variances and exemptions will be posted on the CDRH web site at www.fda.gov/cdrh.

Guidance:
Districts may detain entries of those shipments of patient cables and lead wires from manufacturers listed on this alert. These entries should be detained until evidence is submitted which overcomes the appearance of a violation. (Such evidence may include conducting fieldexams, as well as providing the Affirmation of Compliance Code (A of C Code = LWC), documentation such as photographs, certificates of compliance from the manufacturer, etc.).

If districts have questions about the reliability of submitted documentation the district should contact CDRH, Office of Compliance, Division of Enforcement III, for guidance.

Shipments of patient cables and electrode lead wires which have been physically examined and found to be non-compliant with the standard should be detained and subsequently refused entry if not brought into compliance. A recommendation should be submitted to place the firm/product on detention without physical examination under this alert.

Recommendations for detention without physical examination should be sent to the Division of Import Operations and Policy (DIOP) (HFC-170), which has direct reference authority for detention without physical examination for these devices. A copy of the recommendation should also be sent to Stewart Crumpler, CDRH/Office of Compliance, Division of Enforcement III.

Manufacturers and importers who have been listed on this alert should be encouraged to contact CDRH to discuss bringing future shipments into compliance. General questions or requests for guidance regarding the new performance standard should be directed to CDRH, HFZ-340.

Product Description:
Patient Cables and Electrode Lead Wires

Charge:
"The article is subject to refusal of admission pursuant to Section 801(a)(3) in that the article appears to be a device which is subject to a performance standard established under Section 514 and does not appear to be in all respects, in conformity with such standard. [Adulteration -Section 501(e)]."

OASIS charge code - FAILS STD

Countries

MULTIPLE COUNTRIES (PODS ONLY)
(73 B - - ZQ) Monitor, Breathing Frequency
Notes:21 CFR 868.2375
(73 F - - LS) Monitor (Apnea Detector), Ventilatory Effort
Notes:21 CFR 868.2375
(73 K - - OI) Stimulator, Nerve, Peripheral, Electric
Notes:21 CFR 868.2775
(74 D - - PS) Electrocardiograph
Notes:21 CFR 870.2340
(74 D - - QH) Cardiograph, Apex (Vibrocardiograph)
Notes:21 CFR 870.2310
(74 D - - QK) Computer, Diagnostic, Programmable
Notes:21 CFR 870.1425
(74 D - - QX) Wire, Guide, Catheter
Notes:21 CFR 870.1330
(74 D - - RG) Transmitters And Receivers, Physiological Signal, Radiofrequency
Notes:21 CFR 870.2910
(74 D - - RK) Dc-Defibrillator, High Energy, (Including Paddles)
Notes:21 CFR 870.5300
(74 D - - RO) Pacemaker, Cardiac, External Transcutaneous (Non-Invasive)
Notes:21 CFR 870.5550
(74 D - - RQ) Amplifier And Signal Conditioner, Transducer Signal
Notes:21 CFR 870.2060
(74 D - - RT) Monitor, Cardiac (Incl. Cardiotachometer & Rate Alarm)
Notes:21 CFR 870.2300
(74 D - - RW) Adaptor, Lead Switching, Electrocardiograph
Notes:21 CFR 870.2350
(74 D - - RX) Electrode, Electrocardiograph
Notes:21 CFR 870.2360
(74 D - - SA) Cable, Transducer And Electrode, Patient, (Including Connector)
Notes:21 CFR 870.2900
(74 D - - SB) Plethysmograph, Impedance
Notes:21 CFR 870.2770
(74 D - - SH) Recorder, Magnetic Tape, Medical
Notes:21 CFR 870.2800
(74 D - - SI) Detector And Alarm, Arrhythmia
Notes:21 CFR 870.1025
(74 D - - SJ) Alarm, Blood-Pressure
Notes:21 CFR 870.1100
(74 D - - SK) Computer, Blood-Pressure
Notes:21 CFR 870.1110
(74 D - - SR) Stimulator, Carotid Sinus Nerve
Notes:21 CFR 870.3850
(74 D - - TA) Tester, Pacemaker Electrode Function
Notes:21 CFR 870.3720
(74 D - - TC) Analyzer, Pacemaker Generator Function
Notes:21 CFR 870.3630
(74 D - - TD) Adaptor, Lead, Pacemaker
Notes:21 CFR 870.3620
(74 D - - TE) Pulse-Generator, Pacemaker, External
Notes:21 CFR 870.3600
(74 D - - XG) Computer, Diagnostic, Pre-Programmed, Single-Function
Notes:21 CFR 870.1435
(74 D - - XH) Transmitters And Receivers, Electrocardiograph, Telephone
Notes:21 CFR 870.2920
(74 D - - XJ) Display, Cathode-Ray Tube, Medical
Notes:21 CFR 870.2450
(74 D - - XK) Echocardiograph
Notes:21 CFR 870.2330
(74 D - - XN) System, Measurement, Blood-Pressure, Non-Invasive
Notes:21 CFR 870.1130
(74 D - - YC) Vectorcardiograph
Notes:21 CFR 870.2400
(74 J - - OQ) Generator, Pulse, Pacemaker, External Programmable
Notes:21 CFR 870.1750
(74 K - - RC) Tester, Electrode, Surface, Electrocardiographic
Notes:21 CFR 870.2370
(74 K - - RE) Analyzer, Pacemaker Generator Function, Indirect
Notes:21 CFR 870.3640
(74 K - - RG) Programmer, Pacemaker
Notes:21 CFR 870.3700
(74 K - - RI) Accessory Equipment, Cardiopulmonary Bypass
Notes:21 CFR 870.4200
(74 L - - DD) Dc-Defibrillator, Low-Energy, (Including Paddles)
Notes:21 CFR 870.5300
(74 L - - DF) Electrode, Pacemaker, Temporary
Notes:21 CFR 870.3680
(74 L - - IW) Fibrillator, AC
Notes:21 CFR 870.3680
(74 L - - OR) Resuscitator, Trans-Telephonic
Notes:21 CFR 870.3680
(74 L - - OS) System, ECG Analysis
Notes:21 CFR 870.2340
(74 L - - PA) System, Esophageal Pacing
Notes:21 CFR 870.2340
(74 L - - PD) System, Pacing, Antitachycardia
Notes:21 CFR 870.2340
(76 L - - YD) Stimulator, Electromagnetic Bone Growth for Dental Use
Notes:21 CFR 870.2340
(78 E - - XQ) Cystometer, Electrical Recording
Notes:21 CFR 876.1620
(78 E - - XS) Urinometer, Electrical
Notes:21 CFR 876.1800
(78 E - - XY) Uroflowmeter
Notes:21 CFR 876.1800
(78 E - - ZL) Catheter, Retention Type, Balloon
Notes:21 CFR 876.5130
(78 F - - AP) Cystometric Gas (Carbon-Dioxide) On Hydraulic Device
Notes:21 CFR 876.1620
(78 F - - AR) Unit, Electrosurgical
Notes:21 CFR 876.4300
(78 F - - AS) Electrode, Electrosurgical, Active, Urological
Notes:21 CFR 876.4300
(78 F - - BJ) Cord, Electric For Transurethral Surgical Instrument
Notes:21 CFR 876.4300
(78 F - - DB) Plate, Patient
Notes:21 CFR 876.4300
(78 F - - DI) Snare, Flexible
Notes:21 CFR 876.4300
(78 F - - DJ) Snare, Rigid Self-Opening
Notes:21 CFR 876.4300
(78 F - - DL) Wristlet, Patient Return
Notes:21 CFR 876.4300
(78 F - - EH) Electrode, Flexible Suction Coagulator
Notes:21 CFR 870.4300
(78 F - - EN) Device, Cystometric, Hydraulic
Notes:21 CFR 876.1620
(78 F - - FI) System, Alarm, Electrosurgical
Notes:21 CFR 876.4300
(78 F - - GW) Clamp, Electrical
Notes:21 CFR 876.4300
(78 F - - HC) Adaptor To The Cord, For Transurethral Surgical Instrument
Notes:21 CFR 876.4300
(78 F - - HZ) Desiccator, Transurethral
Notes:21 CFR 876.4300
(78 K - - DO) Rongeur, Cystoscopic, Hot
Notes:21 CFR 876.1500
(78 K - - GE) Forceps, Biopsy, Electric
Notes:21 CFR 876.4300
(78 K - - NS) Unit, Electrosurgical, Endoscopic (With or Without Accessories)
Notes:21 CFR 876.4300
(78 K - - PI) Stimulator, Electrical for Incontinence (Non-Implantable)
Notes:21 CFR 876.5320
(78 L - - IL) Monitor, Penile Tumescence
Notes:21 CFR 876.2040
(78 L - - NL) Stimulator, Electrical for Sperm Collection
Notes:21 CFR 876.2040
(78 L - - ST) Device, Erectile Dysfunction
Notes:21 CFR 876.2040
(78 M - - II) System, Gallbladder Thermal Ablation
Notes:21 CFR 876.2040
(79 G - - EI) Device, Electrosurgical, Cutting & Coagulation & Accessories
Notes:21 CFR 878.4400
(79 J - - OS) Electrode, Electrosurgical
Notes:21 CFR 878.4400
(84 G - - WF) Stimulator, Electrical, Evoked Response
Notes:21 CFR 882.1870
(84 G - - WK) Conditioner, Signal, Physiological
Notes:21 CFR 882.1845
(84 G - - WL) Amplifier, Physiological Signal
Notes:21 CFR 882.1835
(84 G - - WN) Nystagmograph
Notes:21 CFR 882.1460
(84 G - - WQ) Electroencephalograph
Notes:21 CFR 882.1400
(84 G - - XC) Device, Electroconvulsive Therapy
Notes:21 CFR 882.5940
(84 G - - XS) Monitor, Alpha
Notes:21 CFR 882.1610
(84 G - - XY) Electrode, Cutaneous
Notes:21 CFR 882.1320
(84 G - - XZ) Electrode, Needle
Notes:21 CFR 882.1350
(84 G - - YC) Electrode, Cortical
Notes:21 CFR 882.1310
(84 G - - YE) System, Telemetry, Physiological Signal
Notes:21 CFR 882.1855
(84 G - - ZJ) Stimulator, Nerve, Transcutaneous, For Pain Relief
Notes:21 CFR 5890
(84 G - - ZK) Electrode, Nasopharyngeal
Notes:21 CFR 882.1340
(84 G - - ZL) Electrode, Depth
Notes:21 CFR 882.1330
(84 G - - ZN) Rheoencephalograph
Notes:21 CFR 882.1825
(84 G - - ZO) Device, Galvanic Skin Response Measurement
Notes:21 CFR 882.1540
(84 H - - CB) Device, Aversive Conditioning
Notes:21 CFR 882.5235
(84 H - - CC) Device, Biofeedback
Notes:21 882.5050
(84 H - - CJ) Device, Skin Potential Measurement
Notes:21 CFR 882.1560
(84 J - - XE) Device, Nerve Conduction Velocity Measurement
Notes:21 CFR 882.1550
(84 J - - XK) Stimulator, Cranial Electrotherapy
Notes:21 CFR 882.5800
(84 L - - IH) Interferential Current Therapy
Notes:21 CFR 882.5800
(85 H - - II) Stimulator, Vaginal, Muscle, Powered, for Therapeutic Use
Notes:21 CFR 884.5940
(86 H - - LL) Monitor, Eye Movement
Notes:21 CFR 886.1510
(86 H - - LT) Preamplifier, Ac-Powered, Ophthalmic
Notes:21 CFR 886.1640
(86 H - - LZ) Electrode, Corneal
Notes:21 CFR 886.1220
(86 H - - MC) Monitor, Eye Movement, Diagnostic
Notes:21 CFR 886.1510
(86 H - - QC) Unit, Phacofragmentation
Notes:21 CFR 886.4670
(86 H - - QE) Instrument, Vitreous Aspiration And Cutting, Ac-Powered
Notes:21 CFR 886.4150
(86 H - - QO) Unit, Cautery, Thermal, Ac-Powered
Notes:21 CFR 886.4115
(86 H - - QR) Apparatus, Cautery, Radiofrequency, Ac-Powered
Notes:21 CFR 886.4100
(86 H - - RO) Unit, Electrolysis, Ac-Powered, Ophthalmic
Notes:21 CFR 886.4250
(87 K - - QX) Goniometer, Ac-Powered
Notes:21 CFR 888.1500
(87 L - - BB) Dynamometer, Ac-Powered
Notes:21 CFR 888.1240
(87 L - - OF) Non-Invasive Bone Growth Stimulator
Notes:21 CFR 888.1240
(87 L - - WB) Functional Neuromuscular Stimulator For Scoliosis
Notes:21 CFR 888.1240
(89 E - - GJ) Device, Iontophoresis, Other Uses
Notes:21 CFR 890.5525
(89 I - - KD) Cable, Electrode
Notes:21 CFR 890.1175
(89 I - - KN) Electromyograph, Diagnostic
Notes:21 CFR 890.1375
(89 I - - KP) Chronaximeter
Notes:21 CFR 890.1225
(89 I - - KT) Electrode, Needle, Diagnostic Electromyograph
Notes:21 CFR 890.1385
(89 I - - MG) Stimulator, Ultrasound And Muscle, For Use In Applying Therapeutic Deep Heat
Notes:21 CFR 890.5860
(89 I - - PF) Stimulator, Muscle, Powered
Notes:21 CFR 890.5850
(89 I - - SB) Stimulator, Muscle, Diagnostic
Notes:21 CFR 890.1850
(89 K - - TB) Device, Iontophoresis, Specific Uses
Notes:21 CFR 890.5525
(89 L - - PQ) Stimulator, Ultrasound And Muscle, For Use Other Than Applying Therapeutic Deep
Notes:21 CFR 890.5860
(89 M - - BN) Stimulator, Muscle, Powered, Invasive
Notes:21 CFR 890.5860
(90 L - - NH) System, Nuclear Magnetic Resonance Imaging
Notes:21 CFR 892.1000
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