Class 1 Device Recall Welch Allyn AED 20 Defibrillator

• Date Initiated by Firm: August 23, 2007
• Date Posted: September 19, 2007
• Recall Status: Terminated on September 26, 2011
• Recall Number: Z-1223-2007
• Recall Event ID: 39368
• 510(K)Number: K002232
• Product Classification: Defibrillator - Product Code MKJ
• Product: Welch Allyn AED 20 Automated External Defibrillator; a portable, 12V internal battery powered defibrillator; Manufactured by MRL Inc., A Welch Allyn Company, Buffalo Grove, Illinois; Model AED 20, Catalog Numbers 972213, 972214, 972215, 972216 (Part Numbers 972200E, 972211E, 972212E, 972213E, 972214E, 972215E, 972216E)
• Code Information: Serial number range - 205787 - 208907 (non-contiguous) 205787, 205788, 205789, 205790, 205791, 205793, 205794, 205795, 205796, 205797, 205798, 205799, 205800, 205801, 205802, 205803, 205804, 205805, 205807, 205808, 205809, 205810, 205811, 205812, 205813, 205814, 205815, 205816, 205817, 205818, 205819, 205820, 205821, 205822, 205823, 205824, 205825, 205826, 205827, 205828, 205829, 205830, 205831, 205832, 205833, 205834, 205835, 205836, 205837, 205838, 205839, 205840, 205841, 205842, 205843, 205844, 205845, 205846, 205847, 205848, 205849, 205850, 205851, 205852, 205853, 205854, 205855, 205856, 205857, 205858, 205860, 205861, 205862, 205863, 205864, 205865, 205866, 205867, 205868, 205869, 205870, 205871, 205872, 205873, 205874, 205875, 205876, 205877, 205878, 205879, 205880, 205881, 205882, 205883, 205884, 205885, 205886, 205887, 205888, 205889, 205890, 205891, 205892, 205893, 205894, 205897, 205898, 205899, 205900, 205901, 205902, 205903, 205904, 205905, 205906, 205908, 205909, 205910, 205911, 205912, 205913, 205914, 205915, 205916, 205917, 205918, 205919, 205920, 205921, 205922, 205923, 205924, 205925, 205926, 205927, 205928, 205929, 205930, 205931, 205932, 205933, 205934, 205935, 205936, 205937, 205938, 205939, 205940, 205941, 205942, 205943, 205944, 205945, 205946, 205947, 205948, 205949, 205950, 205951, 205952, 205953, 205954, 205956, 205957, 205958, 205959, 205960, 205961, 205962, 205963, 205964, 205965, 205966, 205967, 205968, 205969, 205970, 205971, 205972, 205973, 205974, 205975, 205976, 205977, 205978, 205979, 205980, 205981, 205982, 205983, 205984, 205985, 205986, 205987, 205988, 205989, 205990, 205991, 205992, 205994, 205995, 205996, 205997, 205998, 205999, 206000, 206001, 206002, 206003, 206004, 206005, 206006, 206007, 206008, 206009, 206010, 206011, 206012, 206013, 206014, 206015, 206016, 206017, 206018, 206019, 206020, 206021, 206022, 206023, 206024, 206025, 206026, 206027, 206028, 206029, 206030, 206032, 206033, 206034, 206035, 206036, 206037, 206038, 206039, 206040, 206041, 206042, 206043, 206044, 206045, 206046, 206047, 206048, 206049, 206050, 206051, 206052, 206053, 206054, 206055, 206056, 206057, 206059, 206060, 206061, 206062, 206063, 206064, 206065, 206066, 206067, 206068, 206069, 206070, 206071, 206072, 206074, 206075, 206076, 206077, 206078, 206079, 206080, 206081, 206082, 206083, 206084, 206085, 206086, 206087, 206088, 206089, 206090, 206091, 206092, 206093, 206094, 206095, 206096, 206097, 206098, 206099, 206100, 206101, 206102, 206103, 206104, 206105, 206106, 206107, 206108, 206109, 206110, 206111, 206112, 206113, 206114, 206115, 206116, 206118, 206119, 206120, 206121, 206122, 206123, 206124, 206125, 206126, 206127, 206128, 206129, 206130, 206131, 206132, 206133, 206134, 206135, 206136, 206137, 206138, 206139, 206140, 206141, 206142, 206143, 206144, 206145, 206147, 206148, 206149, 206150, 206151, 206152, 206153, 206154, 206155, 206156, 206157, 206158, 206159, 206160, 206161, 206162, 206163, 206164, 206165, 206167, 206168, 206169, 206170, 206171, 206172, 206173, 206174, 206175, 206176, 206177, 206178, 206179, 206180, 206181, 206182, 206183, 206184, 206185, 206186, 206187, 206188, 206189, 206190, 206191, 206192, 206193, 206194, 206195, 206196, 206197, 206198, 206199, 206200, 206201, 206202, 206203, 206204, 206205, 206206, 206207, 206208, 206209, 206210, 206211, 206212, 206213, 206214, 206215, 206216, 206217, 206218, 206219, 206220, 206221, 206222, 206223, 206224, 206225, 206226, 206227, 206228, 206229, 206230, 206231, 206232, 206233, 206234, 206235, 206236, 206237, 206238, 206239, 206240, 206241, 206242, 206243, 206244, 206245, 206246, 206247, 206248, 206249, 206250, 206251, 206252, 206253, 206254, 206255, 206256, 206257, 206258, 206259, 206260, 206261, 206263, 206264, 206265, 206266, 206267, 206268, 206269, 206270, 206271, 206272, 206273, 206274, 206275, 206276, 206277, 206278, 206279, 206280, 206281, 206282, 206283, 206284, 206285, 206286, 206287, 206288, 206289, 206290, 206291, 206292, 206293, 206294, 206296, 206297, 206298, 206299, 206300, 206301, 206302, 206303, 206304, 206305, 206306, 206307, 206308, 206309, 206310, 206311, 206312, 206313, 206314, 206315, 206316, 206317, 206318, 206319, 206320, 206321, 206322, 206323, 206324, 206325, 206326, 206327, 206328, 206329, 206331, 206332, 206333, 206334, 206335, 206336, 206337, 206338, 206339, 206340, 206341, 206342, 206343, 206344, 206345, 206346, 206347, 206348, 206349, 206350, 206351, 206352, 206353, 206354, 206355, 206356, 206357, 206358, 206359, 206360, 206361, 206362, 206363, 206364, 206365, 206366, 206367, 206368, 206369, 206370, 206371, 206372, 206373, 206375, 206376, 206377, 206378, 206379, 206380, 206381, 206382, 206383, 206384, 206385, 206386, 206387, 206388, 206389, 206390, 206391, 206392, 206394, 206395, 206396, 206397, 206398, 206399, 206400, 206401, 206402, 206403, 206404, 206405, 206406, 206407, 206410, 206411, 206412, 206413, 206414, 206415, 206416, 206417, 206418, 206419, 206420, 206421, 206422, 206423, 206424, 206425, 206426, 206427, 206428, 206429, 206430, 206431, 206432, 206433, 206434, 206435, 206436, 206437, 206438, 206439, 206440, 206441, 206442, 206443, 206444, 206445, 206446, 206447, 206448, 206449, 206450, 206451, 206452, 206453, 206454, 206455, 206456, 206457, 206458, 206459, 206460, 206461, 206462, 206463, 206464, 206465, 206466, 206467, 206468, 206469, 206470, 206471, 206472, 206473, 206474, 206475, 206476, 206477, 206478, 206479, 206480, 206481, 206482, 206483, 206484, 206485, 206486, 206488, 206489, 206490, 206491, 206492, 206493, 206494, 206496, 206497, 206498, 206499, 206500, 206501, 206502, 206503, 206504, 206505, 206506, 206507, 206508, 206509, 206510, 206511, 206512, 206513, 206514, 206515, 206516, 206517, 206518, 206519, 206520, 206521, 206522, 206523, 206524, 206525, 206526, 206527, 206528, 206529, 206530, 206531, 206532, 206533, 206534, 206535, 206536, 206537, 206538, 206539, 206540, 206541, 206542, 206543, 206544, 206545, 206546, 206547, 206549, 206550, 206551, 206552, 206553, 206554, 206555, 206556, 206557, 206558, 206560, 206561, 206562, 206563, 206564, 206565, 206566, 206567, 206569, 206571, 206572, 206575, 206576, 206577, 206578, 206579, 206580, 206581, 206582, 206583, 206584, 206585, 206586, 206587, 206588, 206589, 206590, 206591, 206592, 206593, 206594, 206595, 206596, 206597, 206598, 206599, 206600, 206602, 206603, 206604, 206605, 206606, 206607, 206608, 206609, 206610, 206611, 206612, 206613, 206614, 206617, 206618, 206619, 206620, 206621, 206622, 206623, 206624, 206625, 206626, 206627, 206628, 206629, 206630, 206631, 206632, 206633, 206634, 206635, 206636, 206637, 206638, 206639, 206641, 206642, 206643, 206644, 206645, 206646, 206647, 206648, 206649, 206650, 206651, 206652, 206653, 206654, 206655, 206656, 206657, 206658, 206659, 206660, 206661, 206662, 206663, 206664, 206665, 206666, 206667, 206668, 206669, 206670, 206671, 206672, 206673, 206674, 206675, 206676, 206677, 206678, 206679, 206680, 206681, 206682, 206683, 206684, 206685, 206686, 206687, 206688, 206689, 206690, 206691, 206692, 206693, 206694, 206695, 206696, 206697, 206698, 206699, 206700, 206701, 206703, 206704, 206705, 206706, 206707, 206708, 206709, 206710, 206711, 206712, 206713, 206715, 206716, 206717, 206718, 206719, 206720, 206721, 206722, 206724, 206725, 206726, 206727, 206728, 206729, 206730, 206731, 206732, 206733, 206734, 206735, 206736, 206737, 206738, 206739, 206740, 206741, 206742, 206743, 206744, 206745, 206746, 206747, 206748, 206749, 206750, 206751, 206752, 206753, 206754, 206755, 206756, 206757, 206758, 206759, 206760, 206761, 206762, 206763, 206764, 206765, 206766, 206768, 206769, 206770, 206771, 206772, 206773, 206775, 206776, 206777, 206778, 206779, 206780, 206781, 206782, 206783, 206784, 206785, 206786, 206787, 206788, 206789, 206790, 206791, 206792, 206793, 206794, 206795, 206796, 206797, 206798, 206799, 206800, 206801, 206802, 206803, 206804, 206805, 206806, 206807, 206808, 206809, 206810, 206811, 206812, 206813, 206814, 206815, 206816, 206817, 206818, 206819, 206820, 206821, 206822, 206823, 206824, 206825, 206826, 206827, 206828, 206829, 206830, 206831, 206832, 206833, 206834, 206835, 206836, 206837, 206838, 206839, 206840, 206841, 206842, 206843, 206844, 206845, 206846, 206847, 206848, 206849, 206850, 206851, 206852, 206853, 206854, 206855, 206856, 206858, 206860, 206861, 206862, 206863, 206864, 206867, 206868, 206869, 206870, 206871, 206872, 206873, 206874, 206875, 206876, 206877, 206878, 206879, 206880, 206881, 206882, 206883, 206884, 206885, 206886, 206887, 206888, 206889, 206890, 206891, 206892, 206893, 206894, 206895, 206896, 206897, 206898, 206899, 206900, 206901, 206902, 206903, 206904, 206905, 206906, 206907, 206908, 206909, 206910, 206911, 206912, 206913, 206914, 206915, 206916, 206917, 206918, 206919, 206920, 206921, 206922, 206923, 206924, 206925, 206926, 206927, 206928, 206929, 206930, 206931, 206932, 206933, 206934, 206935, 206936, 206937, 206938, 206939, 206940, 206941, 206942, 206943, 206944, 206945, 206946, 206947, 206948, 206949, 206950, 206951, 206952, 206953, 206954, 206955, 206956, 206957, 206958, 206959, 206960, 206961, 206962, 206963, 206964, 206965, 206966, 206967, 206969, 206970, 206971, 206972, 206973, 206974, 206975, 206976, 206977, 206978, 206979, 206980, 206981, 206982, 206983, 206984, 206985, 206986, 206987, 206988, 206989, 206990, 206991, 206992, 206993, 206994, 206995, 206996, 206997, 206998, 206999, 207000, 207001, 207002, 207003, 207004, 207005, 207006, 207007, 207008, 207009, 207010, 207011, 207012, 207013, 207015, 207016, 207017, 207018, 207020, 207022, 207023, 207024, 207026, 207027, 207028, 207029, 207030, 207031, 207032, 207033, 207034, 207035, 207036, 207037, 207039, 207040, 207041, 207042, 207043, 207044, 207045, 207046, 207047, 207048, 207049, 207050, 207051, 207052, 207053, 207054, 207055, 207056, 207057, 207058, 207059, 207060, 207061, 207062, 207063, 207064, 207065, 207066, 207067, 207068, 207069, 207070, 207071, 207072, 207073, 207074, 207075, 207076, 207077, 207078, 207079, 207080, 207081, 207082, 207083, 207084, 207085, 207086, 207087, 207088, 207089, 207090, 207091, 207092, 207093, 207094, 207095, 207096, 207097, 207098, 207099, 207100, 207101, 207102, 207103, 207104, 207105, 207106, 207107, 207108, 207110, 207111, 207112, 207113, 207114, 207115, 207116, 207117, 207118, 207119, 207120, 207121, 207122, 207123, 207124, 207125, 207126, 207127, 207128, 207129, 207130, 207131, 207132, 207133, 207134, 207135, 207137, 207138, 207139, 207140, 207141, 207142, 207143, 207144, 207145, 207146, 207147, 207148, 207149, 207150, 207151, 207152, 207153, 207154, 207155, 207156, 207157, 207158, 207159, 207160, 207161, 207162, 207164, 207165, 207166, 207169, 207171, 207172, 207173, 207174, 207175, 207176, 207177, 207178, 207179, 207180, 207181, 207182, 207183, 207184, 207185, 207186, 207187, 207188, 207189, 207190, 207191, 207192, 207194, 207195, 207196, 207197, 207198, 207199, 207200, 207201, 207202, 207203, 207204, 207205, 207206, 207207, 207208, 207210, 207211, 207212, 207213, 207214, 207215, 207216, 207217, 207218, 207219, 207220, 207221, 207222, 207223, 207224, 207225, 207226, 207227, 207228, 207229, 207230, 207231, 207232, 207233, 207234, 207235, 207237, 207238, 207239, 207240, 207241, 207242, 207243, 207244, 207245, 207246, 207247, 207248, 207249, 207250, 207251, 207252, 207253, 207254, 207255, 207256, 207257, 207258, 207259, 207260, 207261, 207262, 207263, 207264, 207265, 207266, 207267, 207268, 207270, 207271, 207272, 207273, 207274, 207275, 207276, 207277, 207278, 207279, 207280, 207282, 207283, 207284, 207285, 207286, 207287, 207288, 207289, 207290, 207291, 207292, 207293, 207294, 207295, 207296, 207297, 207298, 207299, 207300, 207301, 207302, 207303, 207304, 207305, 207306, 207307, 207308, 207309, 207310, 207311, 207312, 207313, 207314, 207315, 207316, 207317, 207318, 207319, 207320, 207321, 207322, 207323, 207324, 207325, 207326, 207327, 207328, 207329, 207330, 207331, 207332, 207333, 207334, 207335, 207336, 207337, 207338, 207339, 207340, 207341, 207342, 207343, 207344, 207345, 207346, 207347, 207348, 207349, 207350, 207351, 207352, 207353, 207354, 207355, 207356, 207357, 207358, 207359, 207360, 207361, 207362, 207363, 207364, 207365, 207366, 207367, 207368, 207369, 207370, 207371, 207372, 207373, 207374, 207375, 207376, 207377, 207378, 207379, 207380, 207381, 207382, 207383, 207384, 207387, 207389, 207390, 207391, 207392, 207393, 207394, 207395, 207396, 207397, 207398, 207399, 207400, 207401, 207402, 207403, 207404, 207405, 207406, 207407, 207408, 207409, 207410, 207411, 207412, 207413, 207414, 207415, 207416, 207417, 207418, 207419, 207420, 207421, 207422, 207423, 207424, 207425, 207426, 207427, 207428, 207429, 207430, 207431, 207432, 207433, 207434, 207435, 207436, 207437, 207438, 207439, 207440, 207442, 207443, 207444, 207445, 207445, 207446, 207447, 207448, 207449, 207450, 207451, 207452, 207453, 207454, 207455, 207456, 207457, 207458, 207459, 207460, 207461, 207462, 207463, 207464, 207465, 207467, 207468, 207469, 207470, 207472, 207473, 207474, 207475, 207476, 207477, 207478, 207479, 207481, 207484, 207485, 207486, 207487, 207492, 207495. The following serial numbers were added: 205248, 205653, 205654, 205656, 205664, 205665, 205667, 205669, 205678, 205684, 205708, 205719, 205732, 205736, 205760, 205762, 205763, 205764, 205767, 205774, 205775, 205777, 205781, 205782, 205784, 207523, 207526, 207527, 207528, 207529, 207531, 207532, 207533, 207536, 207537, 207543, 207544, 207545, 207546, 207547, 207548, 207549, 207550, 207551, 207553, 207554, 207555, 207556, 207557, 207560, 207561, 207562, 207563, 207564, 207565, 207566, 207567, 207569, 207570, 207571, 207572, 207574, 207576, 207578, 207581, 207582, 207583, 207584, 207585, 207586, 207587, 207588, 207589, 207590, 207592, 207593, 207594, 207595, 207596, 207597, 207598, 207599, 207600, 207601, 207602, 207604, 207605, 207606, 207607, 207608, 207609, 207610, 207612, 207615, 207616, 207617, 207619, 207621, 207623, 207624, 207628, 207637, 207657, 207658, 207749, 207753, 207754, 207756, 207811, 207813, 207822, 207920, 208907, 208949, and 209240.
• Recalling Firm/ Manufacturer: Welch Allyn Protocol, Inc; 8500 Sw Creekside Pl; Beaverton OR 97008
• For Additional Information Contact: Robert Berry; 503-530-7935
• Manufacturer Reason for Recall: Failure to deliver therapy: The Welch Allyn AED20 Defibrillators may display a "Defib Comm" error message on the device display during use which may result in failure of the device to analyze the patient's ECG and deliver the appropriate therapy.
• FDA Determined Cause: Process control
• Action: On 8/23/07 the firm sent a press release to the Associated Press for release. On 8/29/07 the firm began sending URGENT MEDICAL DEVICE RECALL letters to their consignees informing them of the possibility of the defibrillator to fail to resuscitate the patient. The accounts were asked to respond to the notification within 5 working days by faxing or mailing an enclosed response. End users will be provided with a loaner device while their unit is being serviced. Distributors were sent a separate letter request they provide their customer names to the firm so that the firm can send letters to those customers.
• Quantity in Commerce: 1,637 devices
• Distribution: Worldwide to include USA, Australia, New Zealand, South Africa, China, Hong Kong, Taiwan, Malaysia, Singapore, Phillippines, South Korea, Viet Nam, Egypt, France, Germany, Ireland, India, Israel, Pakistan, Poland, Russia, Saudi Arabia, Switzerland, United Arab Emirates, United Kingdom, Canada, Ecuador, Puerto Rico, and South America.
• 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 = MKJ