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AM12M recallZ-1485-2021 · Welch Allyn Inc Mortara · initiated Mar 31, 2021

Terminated

Is my device affected?

  1. Compare the model, catalog and lot or serial numbers on your device or its packaging with the code information below. A recall usually covers only specific models or lots.
  2. If yours is listed, follow the instructions from Welch Allyn Inc Mortara or your healthcare provider. The company's action is summarized under what the company is doing.
  3. Do not stop using a prescribed or implanted device on your own — talk to your healthcare provider first.

Where to find your model and lot numbers · What recall classes and statuses mean

Why it was recalled

Devices do not meet IEC 60601-2-27 requirements as labeled.

FDA root cause category: Process control

What the company is doing

Recall notification letters were mailed to customers notifying them of the potential issue with recommended actions beginning April 7, 2021. The notification letter includes an acknowledgement form that must be returned to the recalling firm. Once the customer confirms the impacted units are in possession, the recalling firm will arrange for an exchange AM12M to be provided. The recalled unit will be returned to the recalling firm's service center for processing.

Recall details

Recall number
Z-1485-2021
Status
Terminated
Initiated by the company
Mar 31, 2021
Recalling firm
Welch Allyn Inc Mortara
Quantity
746 units
Product code
DPS
Distribution
US Nationwide distribution in the states of CA, CO, FL, GA, IN, LA, NC, NJ, NV, NY, OH, OK, TX, UT, and VA.

Product description

AM12M Acquisition Module accessory. Impacted software version of the AM12M is version 1.5.1 - Product Usage: indicated for use on adult and pediatric populations.

Code information (models, lots, serial numbers)

Show the full code information (11k characters)

Part Number: 41000-037-50 (Device Identifier: 812345029666); S/N: 119030001449, 119030001451, 119030001447, 119030001450, 119190000644, 117200568671, 116520545406, 118030607566, 117510602011, 117060553537, 118030607568, 118030607569, 118030607570, 117270577273, 117200568670, 117060553536, 117120556677, 117220571046, 116530547186, 118180635011, 116510544918  Part Number: 41000-037-51 (Device Identifier: 812345029673); S/N: 118330001224, 118330001229, 118330001226, 118330001222, 118330001221, 118330001223, 118330001225, 118330001228, 118330001230, 118330001227, 118370000736, 118350001181, 118410000928, 118410000929, 119140000221, 119140000222, 119140000223, 119420001690, 120070000301, 120070000300, 120070000297, 120070000302, 120070000295, 120070000299, 120070000296, 120070000298, 118070612689, 116440535497, 116440535498, 116440535499, 116440535500, 116530547301, 116530547302, 116530547303, 116530547304, 117040552121, 117040552122, 117040552123, 117040552124, 118130624261, 118130624262  Part Number: 9293-065-50 (Device Identifier: 812345029710); S/N: 118260000305, 118260000306, 118260000307, 118260000308, 118260000309, 118260000310, 118260000311, 118260000855, 118260000856, 118260000857, 118260000858, 118260000859, 118260000860, 118260000861, 118260000862, 118290001080, 118290001081, 118290001082, 118290001083, 118290001084, 118290001085, 118290001088, 118290001090, 118290001091, 118290001093, 118290001094, 118290001097, 118330000945, 118330000946, 118330000950, 118330000952, 118340001214, 118340001215, 118340001221, 118380002053, 118380002063, 118410000049, 118410000050, 118410000053, 118410000055, 118410000056, 118410000057, 118410000058, 118410000059, 118410000060, 118410000061, 118410000063, 118410000065, 118410000066, 118410000067, 118410000113, 118410000114, 118450000570, 118450000571, 118450000572, 118450000573, 118450000574, 118450000575, 118450000576, 118450000577, 118450000578, 118450000579, 118450000580, 118450000581, 118450000582, 118450000583, 118450000584, 118450000585, 118450000586, 118450000587, 118450000588, 118450000589, 118450000615, 118450000617, 118450000619, 118450000621, 118450000622, 118450000627, 118450000629, 118450000630, 118450000631, 118450000632, 118450000633, 118450000634, 118450000635, 118450000636, 118450000637, 118450000638, 118450000639, 118450000640, 118450000645, 118450000659, 118450000667, 118450000669, 119120000451, 119120000452, 119120000454, 119120000455, 119120000456, 119120000457, 119120000459, 119120000460, 119120001224, 119120001234, 119120001235, 119120001237, 119120001238, 119120001240, 119120001246, 119120001247, 119120001248, 119120001249, 119120001250, 119120001251, 119120001252, 119120001253, 119120001254, 119120001255, 119120001256, 119120001257, 119120001258, 119120001259, 119120001260, 119120001261, 119120001262, 119120001263, 119120001264, 119120001265, 119120001266, 119120001267, 119120001268, 119120001269, 119120001270, 119120001271, 119120001272, 119120001273, 119120001274, 119120001275, 119120001276, 119120001277, 119120001278, 119120001279, 119120001280, 119120001281, 119120001282, 119160000351, 119160000352, 119160000353, 119160000354, 119160000355, 119160000356, 119160000357, 119160000358, 119160000359, 119160000360, 119180000721, 119180000722, 119180000723, 119180000724, 119180000725, 119180000726, 119180000727, 119180000728, 119180000729, 119180000730, 119180000731, 119180000732, 119180000733, 119180000734, 119180000735, 119180000737, 119180000738, 119180000743, 119180000744, 119190000996, 119190000997, 119190000998, 119190000999, 119190001000, 119190001001,,, 119190001002, 119190001003, 119190001004, 119190001005, 119190001381, 119190001382, 119190001383, 119190001384, 119190001385, 119190001386, 119190001387, 119190001388, 119190001389, 119190001390, 119190001391, 119190001392, 119190001393, 119190001394, 119190001395, 119230000110, 119230000111, 119230000112, 119230000113, 119230000114, 119230000115, 119230000116, 119230000117, 119230000118, 119230000119, 119240000023, 119240000027, 119240000028, 119240000029, 119320000542, 119320000543, 119320000544, 119320000545, 119320000546, 119320000547, 119320000548, 119320000549, 119320000550, 119320000551, 119320000552, 119320000553, 119320000554, 119320000555, 119320000556, 119320000559, 119430001094, 119430001095, 119430001096, 119430001097, 119430001098, 119430001099, 119430001100, 119430001102, 119430001103, 119430001104, 119430001105, 119430001106, 119430001107, 119430001108, 119430001109, 119450001213, 119450001214, 119450001215, 119450001216, 119450001217, 119450001218, 119450001219, 119450001220, 119450001221, 119450001222, 119450001223, 119450001224, 119450001225, 119450001226, 119450001227, 119450001228, 119450001229, 119450001230, 119450001231, 119450001232,, 120060000612, 120060000613, 120060000614, 120060000615, 120060000616, 120060000627, 120060000628, 120060000629, 120060000630, 120060000631, 120060000632, 120060000633, 120060000634, 120060000635, 120060000636, 120110001720, 120110001721, 120110001722, 120110001723, 120110001724, 120140000961, 120140000964, 120140002418, 120140002421, 120140002422, 120140002423, 120140002425, 120140002426, 120140002428, 120140002429, 120140002430, 120140002433, 120140002437, 120140002438, 120140002444, 120140002447, 120140002448, 120140002451, 120140002452, 120140002453, 117160563851, 117500600575, 116390529419, 116490542198, 118180634091, 116470539365, 116470539366, 118040608361, 117030550967, 117030550968, 117500600568, 117260576877, 117260576884, 116430533868, 117280577903, 118060610984, 117160563854, 117140561705, 118060610981, 118060610967, 118060610995, 117230572782, 117160563852, 116410531264, 117080555200, 117220571047, 116530547331, 118180634101, 117390588733, 116430533876, 116430533877, 116430533878, 116430533879, 117080555192, 117230572787, 117460595351, 117230572785, 118040608360, 116240475613, 116240475614, 116240475615, 116310521404, 116310521405, 116310521406, 116310521407, 116310521408, 116310521409, 116360525383, 116360525384, 116360525385, 116390529418, 116390529421, 116390529422, 116390529425, 116390529426, 116390529428, 116390529429, 116490542214, 116490542215, 116520545886, 116520545887, 117080555197, 117080555198, 117230572774, 117080555199, 117080555201, 117140561696, 117140561697, 117140561698, 117140561699, 117140561700, 117140561701, 117220571057, 117220571060, 117230572772, 117230572775, 117230572784, 117230572786, 117230572788, 117230572789, 117230572790, 117230572791, 117260576872, 117260576874, 117260576875, 117260576876, 117260576879, 117260576880, 117260576881, 117260576882, 117260576883, 117280577911, 117280577919, 117460595346, 117460595364, 117500600565, 117500600567, 117500600569, 117500600573, 117500600574, 117500600576, 117500600577, 117500600579, 116240475616, 116240475617, 116240475618, 116240475619, 116240475620, 116240475621, 116240475622, 116240475623, 116240475624, 116240475625, 116240475626, 116260496380, 116330522663, 116330522870, 116360525806, 116360525807, 116360525808, 116360525809, 116360525810, 116390529417, 116390529420, 116390529423, 116390529424, 116390529427, 116430533873, 116470539362, 116470539363, 116470539364, 116470539367, 116490542196, 116490542197, 116490542199, 116490542200, 116490542201, 116490542202, 116490542203, 116490542204, 116490542205, 116490542206, 116490542207, 116490542209, 116490542210, 116490542211, 116490542212, 116490542213, 116520545931, 117010548836, 117010548837, 117010548838, 117010548839, 117500600570, 117010548840, 117010548841, 117010548842, 117010548843, 117010548844, 117030550969, 117030550970, 117030550971, 117030550972, 117030550973, 117030550974, 117030550975, 117030550976, 117080555196, 117080555202, 117080555204, 117080555207, 117080555211, 117160563853, 117220571048, 117220571051, 117220571056, 117220571061, 117260576878, 117280577904, 117280577905, 117280577906, 117280577907, 117280577908, 117280577909, 117280577912, 117280577913, 117280577916, 117280577921, 117390588716, 117390588718, 117390588719, 117390588720, 117390588721, 117390588722, 117390588723, 117390588727, 117390588730, 117390588732, 117450593715, 117450593716, 117450593719, 117450593722, 117450593723, 117450593724, 117460595345, 117460595347, 117460595349, 117460595350, 117460595352, 117460595354, 117460595355, 117460595357, 117460595358, 117460595359, 117460595362, 117460595363, 117460595365, 117460595366, 117460595367, 117460595368, 117460595369, 116520545888, 116210444884, 116210444885, 116210444886, 116210444887, 116210444888, 116210444889, 116210444890, 116210444891, 116210444892, 116210444893, 116210444894, 116210444895, 116210444897, 116210444898, 116210444899, 116210444901, 116210444903, 116210444908, 116210444909, 116490542216, 116490542217, 116490542218, 116490542219, 116490542220, 116490542221, 116490542222, 116490542223, 116490542224, 116490542225, 116490542226, 116490542227, 116490542228, 116490542229, 116490542230, 116490542231, 116490542232, 116490542233, 116490542234, 116490542235, 116490542236, 116490542237, 116490542238, 116490542239, 116490542240, 116490542241, 116490542242, 116490542243, 116490542244, 116500542944, 116500542945, 116500542946, 116500542947, 116500542948, 116500542949, 116500542950, 116500542951, 116500542952, 116500542953, 116500542954, 116500542955, 116500542956, 116500542957, 116500542958, 116500542959, 116500542960, 116500542961, 116500542962, 116500542963, 117080555193, 117080555194, 117080555203, 117080555205, 117080555206, 117080555208, 117080555209, 117080555210, 117080555212, 117080555213, 117080555214, 117080555215, 117080555216, 117080555217, 117080555218, 117080555219, 117080555220, 117080555221, 117080555222, 117080555223, 117080555224, 117140561682, 117140561683, 117140561684, 117140561685, 117140561686, 117140561687, 117140561688, 117140561689, 117140561690, 117140561691, 117140561692, 117140561693, 117140561694, 117140561695, 117140561702, 117140561703, 117140561704, 117140561706, 117140561707, 117140561708, 117140561709, 117140561710, 117140561711, 117140561712, 117140561713, 117140561714, 117140561715, 117140561716, 117140561717, 117140561718, 117140561719, 117160563843, 117160563844, 117160563845, 117160563846, 117160563847, 117160563848, 117160563849, 117160563850, 117260576873, 117260576885, 117280577910, 117280577914, 117280577917, 117390587921, 117390587922, 117390587923, 117390587924, 117390587925, 117390587926, 117390587927, 117390587928, 117390587929, 117390587930, 117390587931, 117390587932, 117390587933, 117390587934, 117390587935, 116430533880, 116430533884, 116490542195, 116210444896, 116210444904, 116210444906, 116430533882, 116330522662, 117230572781, 117230572783

Devices named in this recall

3 devices in the FDA device registry whose identifier appears in the recall's code information.

Product lines

Other products in the same recall event

The FDA groups related products into one recall event (event 87686).

Sources and updates

How recalls are matched to devices · Editorial policy · Report an error on this page