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U.S. Department of Health and Human Services

Class 2 Device Recall LIFEPAK

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 Class 2 Device Recall LIFEPAKsee related information
Date Initiated by FirmMay 05, 2004
Date PostedJuly 20, 2004
Recall Status1 Terminated 3 on May 06, 2006
Recall NumberZ-1107-04
Recall Event ID 29025
510(K)NumberK012274 
Product Classification Automated External Defibrillators (Non-Wearable) - Product Code MKJ
ProductLIFEPAK 12 defibrillator/monitor Part Numbers: VLP12-02-000000 through VLP12-02-005003, AVLP12-02-000000 through AVLP12-02-005003, DVLP12-02-000000 through DVLP12-02-005003, EVLP12-02-000000 through EVLP12-02-005003, FVLP12-02-000000 through FVLP12-02-005003, LVLP12-02-000000 through LVLP12-02-005003, PVLP12-02-000000 through PVLP12-02-005003, UVLP12-02-000000 through UVLP12-02-005003
Code Information Non-continuous Serial Numbers between 1178083 and 305080962.
FEI Number 3015876
Recalling Firm/
Manufacturer
Medtronic Physio Control Corp
11811 Willows Rd NE
Redmond WA 98073
For Additional Information ContactMichael A. Willingham
800-442-1142
Manufacturer Reason
for Recall
Therapy cable doesn't meet firm's standards/may not maintain connections sufficient to support ECG monitoring, external pacing or defibrillation; ECG connector with higher than normal connection resistance resulting in intermittent ECG signal; therapy connector has potential for impact damage.
FDA Determined
Cause 2
Other
ActionThe firm reviewed records and/or contacted customers by telephone to verify affected devices used in the out of hospital mobile environment. All affected customers were notified by a letter dated May 2004. The firm''s service representative will contact customers to inspect and correct the devices.
Quantity in Commerce20,676 domestic, 19,899 international
DistributionThe firm distributes to distributors, hospitals, EMT-Ds and paramedics nationwide. The firm also distibutes the product internationally.
Total Product Life CycleTPLC Device Report

1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 �7.55.
510(K) Database510(K)s with Product Code = MKJ
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