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U.S. Department of Health and Human Services

Class 2 Device Recall Vermed, Inc Radiotransparent Defibrillation Electrodes

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  Class 2 Device Recall Vermed, Inc Radiotransparent Defibrillation Electrodes see related information
Date Initiated by Firm April 26, 2013
Date Posting Updated May 30, 2013
Recall Status1 Terminated 3 on April 16, 2014
Recall Number Z-1435-2013
Recall Event ID 65085
510(K)Number K080421  
Product Classification Electrode, pacemaker, temporary - Product Code LDF
Product Vermed, Inc Radiotransparent Defibrillation Electrodes
Monophasic or biphasic compatible defibrillation/cardioversion/pacing/ECG Monitoring electrodes.

Used in connection with a defibrillator to deliver an electrical current (shock) to the patient's heart during cardiac emergencies.
Code Information Part Number: D304 and lot numbers:Y100112-02, Y102212-03, Y121312-18, Y012413-02, Y022013-01, Y032113-01
Recalling Firm/
Heart Sync, Inc
5643 Plymouth Rd
Ann Arbor MI 48105-9586
For Additional Information Contact Cathy Hagerman
Manufacturer Reason
for Recall
On 4/18/13 HEARTSYNC became aware of a recall from their wire/connector sub-assembly supplier which is used in the C100-Physio Electrodes. There were reports of equipment damage due to misalignment from tooling installed in August 2012. The result of this damage could render the device incapable of delivering the appropriate energy or shock to the patient.
FDA Determined
Cause 2
Process design
Action HeartSync sent an URGENT MEDICAL DEVICE RECALL notification letter dated April 26, 2013, to all consignees of Heart Sync for C100-Physio Radiotransparent Defrillation Electrodes. On April 29, 2013, an URGENT MEDICAL DEVICE RECALL notification was sent to Vermed Inc for the D304 Defrillation Electrodes . The letters identified the product, the problem, and the action to be taken by the customer. Customers were instructed to return the affected product to the firm for full credit. Customers were asked to complete the form and send back via fax to 734-213-5640 or call 734-213-5530. For questions regarding this recall call 734-213-5530. .
Quantity in Commerce 17180 units for all part numbers
Distribution Worldwide Distribution - USA including AL, GA, MI, MN, NC, ND, OH, PA, SD, VA, VT, OH, TX, MA, and Internationally to Korea.
Total Product Life Cycle TPLC 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) Database 510(K)s with Product Code = LDF and Original Applicant = HEART SYNC LLC