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U.S. Department of Health and Human Services

Class 3 Device Recall

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  Class 3 Device Recall see related information
Date Initiated by Firm December 15, 2004
Date Posted February 03, 2005
Recall Status1 Terminated 3 on June 27, 2006
Recall Number Z-0497-05
Recall Event ID 30703
510(K)Number K011907  
Product Classification System, Thermal Regulating - Product Code DWJ
Product Equator Forced Air Convective Warming System, Reference Number EQ 5000
Code Information Serial No. 2004126,  10040116, 20020088, 20020125, 20030104, 20030105, 20030133, 20030141, 20030146, 20030194, 20030199, 20030254, 20030287, 20030312, 20030394, 20030401, 20030408, 20030428, 20030460, 20030512, 20030522, 20030535, 20030627, 20030665, 20030759, 20030791, 20030818, 20030960, 20031030, 20031034, 20031039, 20031049, 20031056, 20031105, 20031151, 20031164, 20031172, 20031271, 20031336, 20031414, 20031417, 20031418, 20031423, 20031444, 20031488, 20031550, 20031622, 20031632, 20031661, 20031669, 20031681, 20040007, 20040010, 20040014, 20040021, 20040104, 20040106, 20040115, 20040124, 20040127, 20040153, 20040162, 20040164, 20040166, 20040202, 20040203, 20040208, 20040227, 20040290, 20040377, 20040378, 20040379, 20040380, 20040381, 20040382, 20040383, 20040385, 20040386, 20040387, 20040388, 20040389, 20040391, 20040392, 20040393, 20040394, 20040395, 20040396, 20040397, 20040398, 20040399, 20040400, 20040401, 20040402, 20040406, 20040408, 20040409, 20040410, 20040412, 20040414, 20040415, 20040416, 20040419, 20040420, 20040422, 20040427, 20040429, 20040505, 20040715, 20040817, 20040996, 20041156, 20041157, 20041158, 20041159, 20041160, 20041161, 20041162, 20041163, 20041164, 20041165, 20041166, 20041167, 20041168, 20041169, 20041170, 20041171, 20041172, 20041173, 20041174, 20041175, 20041176, 20041177, 20041178, 20041179, 20041180, 20041181, 20041182, 20041183, 20041184, 20041185, 20041186, 20041187, 20041188, 20041189, 20041190, 20041191, 20041192, 20041193, 20041194, 20041195, 20041196, 20041197, 20041198, 20041199, 20041200, 20041201, 20041202, 20041203, 20041204, 20041205, 20041206, 20041207, 20041208, 20041209, 20041210, 20041211, 20041212, 20041213, 20041214, 20041215, 20041216, 20041217, 20041218, 20041219, 20041220, 20041221, 20041222, 20041223, 20041224, 20041225, 20041227, 20041228, 20041229, 20041230, 20041231, 20041232, 20041233, 20041234, 20041235, 20041236, 20041237, 20041238, 20041239, 20041240, 20041241, 20041242, 20041244, 20041245, 20041246, 20041247, 20041249, 20041250, 20041251, 20041253, 20041256, 20041257, 20041258, 20041259, 20041260, 20041261, 20041262, 20041263, 20041264, 20041265, 20041266, 20041267, 20041268, 20041269, 20041270, 20041271, 20041272, 20041273, 20041274, 20041275, 20041276, 20041277, 20041278, 20041279,  20041280, 20041281, 20041282, 20041283,  20041284, 20041285,  20041286,  20041287,  20041288,  20041289, 20041290,  20041291,  20041293,  20041294,  20041295, 20041296, 20041297, 20041298, 20041299, 20041300, 20041301, 20041302, 20041303, 20041304, 20041305, 20041306, 20041307, 20041308, 20041309, 20041310, 20041311, 20041312, 20041313, 20041314, 20041315, 20041316, 20041317, 20041318, 20041319, 20041320, 20041321, 20041322, 20041323, 20041324, 20041325, 20041326, 20041327, 20041364, 20041581, 29941255 
Recalling Firm/
Manufacturer		 Smiths Medical ASD, Inc.
160 Weymouth St
Rockland MA 02370-1136
For Additional Information Contact Shirley Duggan
781-878-8011 Ext. 7835
Manufacturer Reason
for Recall		 Warmer heater coil may come in contact with the filter housing, causing a small area of the plastic housing to melt
FDA Determined
Cause 2		 Other
Action Smiths Medical ASD notified customers by letter issued Fed''X on 12/15/04. Accounts are requested not to use the device and return the unit if the the unit has not yet been placed into service. If the unit has been placed into service and operated for more than one hour then the problem will not occur. EQ-5000 unit(s) will be replaced.
Quantity in Commerce 206 units
Distribution Nationwide Foreign: Nederland BV, UK, Finland
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 = DWJ and Original Applicant = SIMS LEVEL 1, INC.
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