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U.S. Department of Health and Human Services

Class 2 Device Recall VITALTEMP General Purpose Probe

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 Class 2 Device Recall VITALTEMP General Purpose Probe see related information
Date Posted November 20, 2012
Recall Status1 Terminated on June 14, 2013
Recall Number Z-0407-2013
Recall Event ID 63532
510(K)Number K925791  K944949  K822277 
Product Classification Probe, ent - Product Code KAK
Product Vital Signs Disposable General Purpose 9 French Temperature Probe
For monitoring of core temperature

Code Information Model Numbers 1016, 1016EU, R1016ES; GXXXX64
All units Made in Costa Rica are affected
Lot Numbers:

12089A 12131A

5575A 5586X 5633U 5664E 5685G 5712T

12090B 12138A 5578K 5603R 5636Y 5666R 5685H

12100A 12157B 5578L 5606U 5638P 5668N 5685J
12101B 12173A 5580Y 5614N 5638Q 5669G 5689Y
12102A 5573Q 5580Z 5615N 5648T 5669H 5691T
12108B 5574A 5581A 5621U 5648U 5671D 5692H
12109B 5574B 5581L 5623H 5653Z 5673V 5696Q
12114B 5574X 5583E 5631C 5658D 5683V 5700J
12117B 5574Y 5584C 5632V 5660C 5683W 5703N
12130B 5574Z 5584D 5633T 5664D 5683X 5708R

Recalling Firm/
Vital Signs Colorado Inc.
11039 East Lansing Circle
Englewood CO 80112-5909
For Additional Information Contact Ms. Gwen Braeger
Manufacturer Reason
for Recall
There is a potential for epistaxis during use of the Disposable General Purpose 9 French Temperature Probe.
FDA Determined
Cause 2
Device Design
Action The firm,GE Healthcare, sent an "URGENT MEDICAL DEVICE CORRECTION" letter and Confirmation form on August 17, 2012 via Fed Ex to its consignees/customers. The letter describes the product, problem and action to be taken. The customers were instructed to do the following: Do not use the Disposable General Purpose 9 French Temperature Probe P/N 1016 or 1016EU; return all unopened product(s) to Vital Signs Devices (VSD) 11039 East Lansing Circle, Englewood, CO 80112-note: replacements and/or refunds discussed in letter are available only in exchange for the return of any unopened product(s); complete and return the URGENT MEDICAL DEVICE CORRECTION CONFIRMATION via fax to: 800-535-7923; forward a copy of the letter to any institutions they may have forwarded the product and for customers using the GXXXXX64 kit that includes the Disposable General Purpose 9 French Temperature Probe follow the directions listed in the letter. Note: VSD is removing p/n 1016 and 1016EU, Disposable General Purpose 9 French Temperature Probe, from the market and offering a replacement. If you have any questions or concerns regarding this notification, contact Customer Service at +1-800-932-0760 (Domestic & International). Hours of Operation 8:00 am EST to 6:00 pm EST.
Quantity in Commerce 243,685 units
Distribution Worldwide distribution: USA (nationwide) including states of: AR, CA, FL,GA, IL, LA, MA, MI, MO, NC, NH, NY, OH, OK, PA, RI, SE,TX, and WA; and countries of: AUSTRALIA, BARCELONA, GERMANY, NEW ZEALAND, NETHERLANDS, SWITZERLAND, and UNITED KINGDOM.
Total Product Life Cycle TPLC Device Report

1 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
510(K) Database 510(K)s with Product Code = KAK and Original Applicant = KELLEHER CORP.