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U.S. Department of Health and Human Services

Class 2 Device Recall

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  Class 2 Device Recall see related information
Date Initiated by Firm September 02, 2005
Date Posted November 02, 2005
Recall Status1 Terminated 3 on January 17, 2011
Recall Number Z-0117-06
Recall Event ID 33327
510(K)Number K012274  
Product Classification Dc-Defibrillator, Low-Energy, (Including Paddles) - Product Code LDD
Product standard (hard) paddles used with the LIFEPAK 12 defibrillator/monitor series.
Code Information Standard Hard Paddles part number: 3006228-013 and below
Recalling Firm/
Manufacturer
Medtronic Emergency Response Systems, Inc.
11811 Willows Rd Ne
Redmond WA 98052-2003
For Additional Information Contact John A. Parks
425-867-4681
Manufacturer Reason
for Recall
Potential for voltage pins in connector of therapy cable to break.
FDA Determined
Cause 2
Other
Action On 9/2/05 the firm issued letters dated September 2005 to their customers. The letters state the problem, advise the cables and/or connectors will be replaced, and emphasize daily inspection and testing,
Distribution Devices were distributed worldwide.
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 = LDD and Original Applicant = MEDTRONIC PHYSIO-CONTROL CORP.
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