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Class 2 Device Recall Astra XT DR Implantable pulse generator |
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Date Initiated by Firm |
November 08, 2021 |
Create Date |
December 16, 2021 |
Recall Status1 |
Open3, Classified |
Recall Number |
Z-0391-2022 |
Recall Event ID |
89054 |
PMA Number |
P920015 |
Product Classification |
Pulse generator, permanent, implantable - Product Code NVZ
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Product |
Medical Device Identification Cards associated with Astra XT DR Implantable pulse generator |
Code Information |
Astra XT DR implantable pulse generator, Product Number/CFN X2DR01, UDI 00763000108953, Serial Numbers: RNH655287S, RNH648107S, RNH645452S, RNH634608S, RNH642593S, RNH638740S, RNH635040S, RNH636809S, RNH633755S UDI 00643169634671, Serial Numbers: RNH612514S |
Recalling Firm/ Manufacturer |
Medtronic Inc., Cardiac Rhythm and Heart Failure (CRHF) 8200 Coral Sea St Ne Mounds View MN 55112-4391
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For Additional Information Contact |
Patient Services 800-551-5544
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Manufacturer Reason for Recall |
The back of some Medical Device Identification Cards provided to patients were printed with an erroneous statement stating the following: "This patient has a complete MR conditional system implanted."
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FDA Determined Cause 2 |
Error in labeling |
Action |
On 09-Nov-2021, Medtronic initiated mailing the patient letter, including a corrected Medical Device Identification Card, to impacted patients. In addition, on 08-Nov-2021, physicians following impacted patients were sent a physician letter explaining the correction. |
Quantity in Commerce |
10 Medical Device Cards |
Distribution |
US, Canada, Northern Mariana Islands |
Total Product Life Cycle |
TPLC Device Report
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1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
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