ClearanceBrief
Recall Z-1272-2020 ยท MKJ Automated External Defibrillators (Non-Wearable)

Philips North America LLC

Philips HeartStart HS1 Onsite (Model M5066A) and HSI Home (Model M5068A) AED, Model 861304, HSI codeRev: E.03.063

DateSep 10, 2019
StatusTerminated
ReasonAffected devices contain a Printed Circuit Assembly (PCA) that was not manufactured/repaired in accordance to quality standards.
Root causeProcess control
ActionOn 09/11/2019, the firm sent an "Customer Information Medical Device Recall" notification to customers via Certified Mail informing them that certain models of their Automated External Defibrillator (AED) contain a Printed Circuit Assembly (PCA) manufactured by a supplier that did not follow specific procedures when repairing PCAs that initially failed required testing. After being repaired, these PCAs passed all testing at the supplier's facility prior to being assembled into AEDs. The Recalling Firm's quality standards require that the PCAs both be repaired according to specified procedure
QuantityTotal 96 units = 95 units (HS1 Onsite) and 1 unit (HS1 Home)
DistributionHeartStart FRx: US - CA, CT, FL, IL, MO, NY,TN, TX and WI OUS - Australia, Brazil, Canada, Germany, Italy, Japan, South Korea, Norway, Switzerland and Taiwan. HeartStart HS1: US - CT, FL, IL, MI, MS, NJ, TN, TX, WA and WI OUS - Argentina, Australia, Canada, France, Germany, Hong Kong, Italy, Japan,
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K020715PHILIPS M5066A AND M5068A
Philips Medical Systems, Nov 8, 2002
K040904PHILIPS HEARTSTART HOME DEFIBRILLATOR, MODEL M5068A
Philips Medical Systems, Sep 16, 2004
K050004PHILIPS HEARTSTART FRX DEFIBRILLATOR, MODEL 861304
Philips Medical Systems, Feb 25, 2005