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Class 2 Device Recall Welch Allyn Acuity Central Monitoring Station |
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Date Initiated by Firm |
December 31, 2003 |
Date Posted |
February 13, 2004 |
Recall Status1 |
Terminated 3 on January 06, 2005 |
Recall Number |
Z-0538-04 |
Recall Event ID |
28003 |
510(K)Number |
K022453
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Product Classification |
Detector And Alarm, Arrhythmia - Product Code DSI
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Product |
Welch Allyn Acuity Central Monitoring Station (With SunBlade Model 150,650 MHZ. Part # 700-0362-00 |
Code Information |
CPU Serial Numbers: LT00001-LT000015, LT000017-LT000019, TA00274, TA00415, TA00415-HA, TA00468, TA00554, TA00582, TA 00587, TA00587-HA, TA00639, TA00738, TA00745, TA00854, TA00856, TA00861, TA00880, TA00889, TA00891, TA01200, TA01217, TA01218, TA01253, TA01278, TA01279, TA01286, TA01304, TA01306, TA01327, TA01359, TA01359-HA, TA01387, TA01387-HA, TA01388-TA01398, TA01391HA, TA01400-TA01411, TA01413-TA01423, TA01426-TA01435, TA01433-HA, TA01438--TA01446, TA01448-TA01455, TA01453-HA, TA01457-TA01461, TA01463, TA01463-HA, TA01464, TA01466-TA01469, TA01471-TA01480, TA01473-HA, TA01478-HA, TA01481-HA, TA01482-TA01486, TA01484-HA, TA01485-HA, TA01488, TA01488-HA, TA01490-TA01493, TA01493-HA, TA01499-TA01515, TA01508-HA, TA01509-HA, TA01510-HA, TA01515-HA, TA01517-TA01526, TA01522-HA, TA01523-HA, TA01525-TA01528, TA01530-TA01546, TA01534-HA, TA01535-HA, TA01536-HA, TA01537-HA, TA01544-HA, TA01548-TA01550, TA01552--TA01561, TA01561-HA, TA01563-TA01570, TA01567-HA, TA01568-HA, TA01574. |
Recalling Firm/ Manufacturer |
Welch Allyn Protocol, Inc 8500 SW Creekside Pl Beaverton OR 97008-7107
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For Additional Information Contact |
Marvin T. Iglehart 503-530-7909
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Manufacturer Reason for Recall |
Potential failure to audibly alarm due to speaker hardware component failure.
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FDA Determined Cause 2 |
Other |
Action |
The firm sent a letter dated December 31, 2003 instructing their customers to install an audio cable from the CPU to the Flat Panel Monitor to provide redundant speaker capability. The audio cable and installation instructions were included in the letter. The letter also included a Correction Response Form which customers should fill out upon completion of correction. |
Quantity in Commerce |
233 devices |
Distribution |
The firm distributes the product nationwide and internationally. |
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 = DSI and Original Applicant = WELCH ALLYN PROTOCOL, INC.
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