| | Class 2 Device Recall noncontinuous ventilators |  |
| Date Initiated by Firm | October 15, 2007 |
| Date Posted | April 24, 2008 |
| Recall Status1 |
Terminated 3 on September 01, 2009 |
| Recall Number | Z-1057-2008 |
| Recall Event ID |
45545 |
| 510(K)Number | K040595 K982454 |
| Product Classification |
ventilation accessories - Product Code GWQ
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| Product | Non-continuous ventilator accessories under the following brand names: a) Adult ECG Electrodes model number 1016360; b) O2 Enrichment Attachment BX 10 model number 312010; c) O2 Enrichment Attachment Single model number 312710; d) Alice 5, Domestic model number 1017226; e) BIPAP Auto M.W/Humid, W/SmartCard, CA model number CA701HS; f) BIPAP Auto M.W/Humid, W/SmartCard, US model number DS700HS; g) BIPAP Auto M, W/SmartCard, US model number DS700S; h) BIPAP Auto SV W/SmartCard Dom Core model number 1040716; i) BIPAP Harmony, Intl model number 1012823; j) BIPAP Plus M, US model number DS600; k) BIPAP Plus M, W/Humid US model number DS600H; l) BIPAP S/T Core Pkg NA model number 1014248; m) BIPAP S/T North America model number 1012885; n) BIPAP Vision Filter Pack model number 582101; o) Duet LX/BIPAP Pro/Synch Pollen QTY 1 model number 1039611; p) FLXTB, 5 inch STD, 22 mm, CE model number 1006042; q) FLXTB, 6 in Trach 15 mm taper, CE model number 1004968; r) GP UL-Fine Filter 2 pack model number 1006190; s) Incoming Filter 7000, 7001 CPAP model number 7070; and t) Infant ECG Electrodes model number 1016361. Filter, mask, and/or accessories for sleep therapy and ventilation devices, Respironics, Inc., Murrysville, PA 15668. |
| Code Information |
Lot Numbers 071010, 071011, and 071012. |
Recalling Firm/ Manufacturer |
Respironics, Inc. 1001 Murry Ridge Ln Murrysville PA 15668-8550
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| For Additional Information Contact | Katherine dePadua 724-387-7770 |
Manufacturer Reason for Recall | Foreign material: Glass fragments may present in the plastic bag material used to ship components. |
FDA Determined Cause 2 | Environmental control |
| Action | The recalling firm issued a Recall Notification dated 10/18/07 to its customers. Replacement products were to be sent. |
| Quantity in Commerce | 20950 units |
| Distribution | The products were shipped nationwide to medical facilities. |
| Total Product Life Cycle | TPLC Device Report |
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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.
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| 510(K) Database | 510(K)s with Product Code = GWQ
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