Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1939-2010

Hospital Grade Power Cord, UL, Part # 66319, 055476, manufactured by Electri-Cord Manufacturing Co. beginning...

Medtronic Perfusion Systems / initiated 2010-04-21 / Terminated / root cause: manufacturing process

Medtronic Cardiovascular Revascularization & Surgical Therap began a recall of Hospital Grade Power Cord, UL, Part # 66319, 055476, manufactured by Electri-Cord Manufacturing Co. beginning in February 2003. The cords are a detachable... on . The reason FDA records is "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...". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-1939-2010
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Medtronic Perfusion Systems
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.
Product code
DWA Control, Pump Speed, Cardiopulmonary Bypass
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
Root cause tag
manufacturing process
FDA root cause
Nonconforming Material/Component
Action
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.
Quantity in commerce
619 USA, 80 OUS
Distribution
Worldwide distribution: USA, Latin America, Middle East, Japan, and Canada.
Product codes and lots
Part # 66319 & 055476