| Date Initiated by Firm | December 07, 2023 |
| Date Posted | January 22, 2024 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-0779-2024 |
| Recall Event ID |
93663 |
| PMA Number | P980016S713 |
| Product Classification |
Implantable cardioverter defibrillator (non-CRT) - Product Code LWS
|
| Product | Cobalt XT DR MRI SureScan Implantable Cardioverter Defibrillator, product number DDPA2D1 |
| Code Information |
UDI/DI 00763000178338, Serial Number RSL604096S |
| FEI Number |
2182208
|
Recalling Firm/ Manufacturer |
Medtronic Inc. 8200 Coral Sea St Ne Mounds View MN 55112-4391
|
| For Additional Information Contact | Kathleen Janasz 763-505-6000 |
Manufacturer Reason for Recall | During internal review of Polaris battery assembly data from the HiPot operation, a test systems engineer noticed that some batteries had gone through the High Potential test twice. This was able to occur because the test screen did not prevent retesting after a failure. Some batteries were therefore retested and passed. |
FDA Determined Cause 2 | Nonconforming Material/Component |
| Action | Medtronic hand delivered an Urgent Medical Device Recall/Retrieval notice to its sole consignee on 12/07/2023. The notice explained the issue and indicated that the device would be collected and a replacement provided. |
| Quantity in Commerce | 1 device |
| Distribution | US Nationwide distribution in the state of Florida. |
| Total Product Life Cycle | TPLC Device Report |
|
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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| PMA Database | PMAs with Product Code = LWS PMAs with Product Code = LWS
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