Medical Device
Manufacturing
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Z-1819-2020Class II

Replaceable lead set for the Wireless Acquisition Module (WAM), which is the ECG front-end for various...

Mortara Instrument, Inc. / initiated 2020-03-18 / Terminated / root cause: design

WELCH ALLYN, INC/MORTARA began a recall of Replaceable lead set for the Wireless Acquisition Module (WAM), which is the ECG front-end for various Electrocardiographs. Sold under the following device... on . FDA classified it as Class II and gives the reason as "Impacted Welch Allyn products may not meet the Defibrillation Withstand requirements of EN/IEC 60601-2-25 Medical Electrical Equipment". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-1819-2020
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Mortara Instrument, Inc.
Product
Replaceable lead set for the Wireless Acquisition Module (WAM), which is the ECG front-end for various Electrocardiographs. Sold under the following device names: LEAD SET WAM 10 WIRE BANANA AHA GRAY, LEAD SET WAM 10 WIRE BANANA IEC GRAY, RPLCE LD SET WAM/AM12 LIMBS BANA AHA GRY, RPLCE LD SET WAM/AM12 LIMBS BANA IEC GRY, RPLCE LD SET WAM/AM12 V1-V3 BANA AHA GRY, RPLCE LD SET WAM/AM12 C1-C3 BANA IEC GRY, RPLCE LD SET WAM/AM12 V4-V6 BANA AHA GRY, RPLCE LD SET WAM/AM12 C4-C6 BANA IEC GRY, LEAD SET AM15E 13-WIRE BANANA AHA GRAY, LEAD SET AM15E 13-WIRE BANANA IEC GRAY, RPLCE LEAD SET AM15E E2-E4 BANANA AHA GRAY, LEAD SET WAM 10 WIRE CLIPS AHA GRAY, LEAD SET WAM 10 WIRE CLIPS IEC GRAY, RPLCE LD SET WAM/AM12 LIMBS CLIP AHA GRY, RPLCE LD SET WAM/AM12 LIMBS CLIP IEC GRY, RPLCE LD SET WAM/AM12 V1-V3 CLIP AHA GRY, RPLCE LD SET WAM/AM12 C1-C3 CLIP IEC GRY, RPLCE LD SET WAM/AM12 V4-V6 CLIP AHA GRY, RPLCE LD SET WAM/AM12 C4-C6 CLIP IEC GRY, LEAD SET WAM/AM12 10-WIRE BANANA AHA GRY, LEAD SET WAM/AM12 10-WIRE BANANA IEC GRY, LD SET WAM/AM12 10 WRE SHORT AHA CLIP, LD SET WAM/AM12 10 WRE SHORT IEC CLIP.
Product code
DPS Electrocardiograph
Reason for recall
Impacted Welch Allyn products may not meet the Defibrillation Withstand requirements of EN/IEC 60601-2-25 Medical Electrical Equipment.
Root cause tag
design
FDA root cause
Device Design
Action
Welch Allyn notified customers on 2/19/2020 via "Voluntary Medical Device Correction Welch Allyn Patient Cables or Lead Sets". The recall letter identified the affected product and stated the reason for the recall. The firm also requested the distributors to immediately notify accounts if the product was further distributed.
Quantity in commerce
78,521 units total
Distribution
US nationwide distribution in the states of AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, ON, OR, PA, PR, RI, SC, SD, TN,UT, VA, VT, WA, WI, WV and WY.
Product codes and lots
Model Numbers: 9293-046-60 - 9293-047-71; 9293-017-50 - 9293-017-51; 9293-026-50 - 9293-026-51; 9293-061-50 - 9293-061-53; 9293-033-52 - 9293-033-53 and 9293-034-50.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1819-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1810-2020Class IITerminatedVoluntary: Firm initiated
Z-1811-2020Class IITerminatedVoluntary: Firm initiated
Z-1812-2020Class IITerminatedVoluntary: Firm initiated
Z-1813-2020Class IITerminatedVoluntary: Firm initiated
Z-1814-2020Class IITerminatedVoluntary: Firm initiated
Z-1815-2020Class IITerminatedVoluntary: Firm initiated
Z-1816-2020Class IITerminatedVoluntary: Firm initiated
Z-1817-2020Class IITerminatedVoluntary: Firm initiated
Z-1818-2020Class IITerminatedVoluntary: Firm initiated
Z-1819-2020Class IITerminatedVoluntary: Firm initiated