Recall Z-1939-2010

Medtronic Cardiovascular Revascularization & Surgical Therap · initiated April 21, 2010

Terminated

Product

Hospital Grade Power Cord, UL, Part # 66319, 055476, manufactured by Electri-Cord Manufacturing Co. beginning in February 2003. The cords are a detachable unit, supplied with the instruments listed below: Medtronic Bio-Console 550 centrifugal pump console, Model #95180, Catalogue # 95180, E95180, R95180. Medtronic Bio-Console 560 centrifugal pump consoles Model # 560BC, Catalogue # 560BC, 560BCS, 560BCS1. Medtronic autoLog, Model # ATLG110, Catalogue # ATLG110, ATLG110E ATLG110R. Medtronic Sequestra 1000, Model #SEQ1000, Catalogue # SEQ1000, SEQ1000E, SEQ1000R.

Codes / lots: Part # 66319 & 055476

Reason for recall

The potential risks during the use of this power cord include electrical shock, delay in setup and therapy, interruption of therapy, device failure, and fires. Although Medtronic has received no reports of adverse events related to the affected cord, a failure may potentially lead to serious adverse health consequences, depending on the device, and therapy being interrupted. This Field Notificatio

FDA-determined cause: Nonconforming Material/Component

Action taken

Consignees were sent on 4/21/10 a Medtronic "Urgent Medical Device Recall Notice" letter dated April 19, 2010. The letter was addressed to their customers and described the problem and the product involved. They recommended to discontinue use of the AC power cords and to destroy them. Requested consignees to fill out the attached Medtronic Recall Certificate (FCA 1005), and return it to Medtronics.

Details

Recall number
Z-1939-2010
Initiated
April 21, 2010
Posted by FDA
June 30, 2010
Terminated
December 24, 2011
Product code
DWA – Control, Pump Speed, Cardiopulmonary Bypass
Quantity
619 USA, 80 OUS
Distribution
Worldwide distribution: USA, Latin America, Middle East, Japan, and Canada.
Recalling firm
Medtronic Cardiovascular Revascularization & Surgical Therap, Brooklyn Park, MN

Official FDA recall record