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U.S. Department of Health and Human Services

Class 2 Device Recall AC Power Cords

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  Class 2 Device Recall AC Power Cords see related information
Date Initiated by Firm November 04, 2009
Date Posting Updated January 25, 2010
Recall Status1 Terminated 3 on January 21, 2011
Recall Number Z-0665-2010
Recall Event ID 53802
510(K)Number K063692  
Product Classification Negative pressure wound therapy powered suction pump - Product Code OMP
Product AC Power Cords, 110V Manufactured by Electri-Cord Manufacturing Company in Westfield, PA. Power Cord #340225 used with Activac Model 340000, and ActiVAC (Canadian) Model 340013.
Code Information Device Serial Numbers: Activac - VDZR00001-VDZR26649; and VCQK00001 - VCQK19781; ActiVAC (Canadian) - VDRK00001 - VDRK00085; VEPR00001 - VEPR01050; and VFSR00150 - VFSR01790.
Recalling Firm/
4958 Stout Dr
San Antonio TX 78219-4334
For Additional Information Contact
Manufacturer Reason
for Recall
Power cords may crack and fail inside plug with potential for fire hazard.
FDA Determined
Cause 2
Nonconforming Material/Component
Action Kinetics Concepts, Inc. (KCI) issued an "Urgent Medical Device Correction" letter dated November 4, 2009. Consignees were informed of the affected product and instructed to take necessary action to avoid any further issues associated with the product. For further information, contact KCI's technical support team at 1-800-275-4524 option #3.
Quantity in Commerce 37,437
Distribution Nationwide and Canada
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 = OMP and Original Applicant = KCI USA, INC.