ClearanceBrief
Recall Z-0520-04 ยท BTM Ventilator, Emergency, Manual (Resuscitator)

Laerdal Medical Corporation

Intake/Reservoir Valve (Part No. 875400), used in all sizes of Laerdal Silicone Resuscitators. Responsible firm on the label: Distributed in the U.S. by Laerdal Medical Corporation, Wappingers Falls, NY, Made in Norway.

DateFeb 10, 2004 (initiated Dec 23, 2003)
StatusTerminated
ReasonPotential for the Flap Valve component of the Intake/Reservoir Valve to become dislodged from its mount, rendering the resuscitator inoperative.
Root causeOther
ActionLetters issued on 1/14/2004. The recall involves the replacement of the Inner Part of the Intake/Reservoir Valve, which is part of the Laerdal Silicone Resuscitator. Recall is to the user level.
Quantity1,255 units
DistributionProduct was shipped to approximately 264 customers nationwide, and 3 foreign consignees (Mexico, Brazil and Northern Mariana Islands). Product was also sold to a few exporters who shipped units to unknown countries. Customers include distributors and end users. There were 2,403 parts shipped to
FDA recordOpen on fda.gov

510(k) clearances named in this recall

This recall record lists no 510(k) number.