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U.S. Department of Health and Human Services

Class 2 Device Recall NIM Vital

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  Class 2 Device Recall NIM Vital see related information
Date Initiated by Firm May 03, 2022
Date Posted June 02, 2022
Recall Status1 Open3, Classified
Recall Number Z-1223-2022
Recall Event ID 90163
510(K)Number K200759  
Product Classification Stimulator, electrical, evoked response - Product Code GWF
Product NIM Vital Console 4.0 (P/N: NIM4CM01) NIM with Software version 1.3.2
Code Information Model Number: NIM4CM01; UDI/DI: 00763000395896, lot numbers: C2026207, C2026233, C2026320, C2026335, C2026354, C2026376, C2110046, C2110089, C2110131, C2110196, C2110198, C2110208, C2110217, C2110223 and 00763000002978, lot numbers: C1915048, C1915078, C1915099, C1915188, C2026207, C2026233, C2026320, C2026335, C2026354, C2026376, C2110046, C2110089, C2110131, C2110196, C2110198, C2110208, C2110217, C2110223.
Recalling Firm/
Manufacturer
Medtronic Xomed, Inc.
6743 Southpoint Dr N
Jacksonville FL 32216-6218
For Additional Information Contact Marie Gentile
904-296-9600
Manufacturer Reason
for Recall
Software anomaly was identified.
FDA Determined
Cause 2
Software Design Change
Action The firm issued a recall notification to consignees on 05/03/2022 via mail. The letter instructs the consignee to follow the IFU regarding the setup and "Lead Off Detected" error message, forward the notification to those who need to be aware within the organization and to any location which the devices have been distributed, and to complete the response form. An additional correction notification was sent on about 09/13/2023 to notify consignees of the update availability (NIM Vital" SW version v1.4.3) to fix this issue.
Quantity in Commerce 18 units
Distribution Worldwide distribution - US Nationwide distribution in the states of TX, CO, NJ and the country of France.
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.
510(K) Database 510(K)s with Product Code = GWF and Original Applicant = Medtronic Xomed, Inc.
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