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U.S. Department of Health and Human Services

Class 2 Device Recall Aerial Wheelchair Cushion

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 Class 2 Device Recall Aerial Wheelchair Cushionsee related information
Date Initiated by FirmJanuary 31, 2014
Date PostedMarch 21, 2014
Recall Status1 Terminated 3 on May 07, 2018
Recall NumberZ-1266-2014
Recall Event ID 67576
Product Classification Cushion, wheelchair - Product Code IMP
ProductOtto Bock Aerial and Aerial Active Wheelchair Cushions. Material numbers: SK757 476C00=SK701, 476C00=SK702, 476C00=SK703, 476C00=SK704, 476C00=SK705, 476C00=SK706, 476C00=SK707, The following material numbers were not distributed within the US: 476C00=SK751, 476C00=SK752, 476C00=SK753, 476C00=SK754, 476C00=SK755, 476C00=SK756, 476C00= SK757.
Code Information all cushions with the following material numbers: SK757 476C00=SK701, 476C00=SK702, 476C00=SK703, 476C00=SK704, 476C00=SK705, 476C00=SK706, 476C00=SK707, The following material numbers were not distributed within the US: 476C00=SK751, 476C00=SK752, 476C00=SK753, 476C00=SK754, 476C00=SK755, 476C00=SK756, 476C00= SK757.
Recalling Firm/
Manufacturer		 Bock,Otto,Orthopedic Ind,Inc
Two Carlson Parkway North, Suite 100
Minneapolis MN 55447
For Additional Information ContactEmily Ray
800-328-4058 Ext. 5189
Manufacturer Reason
for Recall		Otto Bock is recalling all Aerial and Aerial Active Wheelchair Cushions from specific material numbers. During internal testing, it was discovered that there is a small risk of flammability to the cushion after it has been washed at high temperatures. The cushions should either be returned to Otto Bock or destroyed.
FDA Determined
Cause 2		Unknown/Undetermined by firm
ActionAn Urgent Voluntary Device Recall letter was sent to customers beginning 1/31/2014. The letter identified the affected material numbers, described the reason for recall, and asked that product be returned or destroyed. A response Questionnaire was asked to be completed and returned.
Quantity in Commerce464 units (US 113, OUS 351)
DistributionWorldwide Distribution-USA (nationwide) and the countries of Australia, Austria, Bosnia and Herzegovina, Brazil, China, Columbia, Croatia, Denmark, France, Germany, Greece, Hong Kong, Hungary, Iceland, Japan, Mexico, Netherlands, Poland, Romania, Russia, South Africa, Spain, Sweden, Switzerland, Thailand, and United Kingdom.
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.
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