Class 2 Device Recall Titan Anchor Accessory Kit

• Date Initiated by Firm: October 27, 2009
• Date Posted: December 11, 2009
• Recall Status: Terminated on December 24, 2011
• Recall Number: Z-0500-2010
• Recall Event ID: 53689
• PMA Number: P840001S081
• Product Classification: stimulator, spinal-cord, totally implanted for pain relief - Product Code LGW
• Product: Medtronic Accessory Kit , Titan¿ Anchor Accessory Kit, 3550-39, Single Use, RX Only, Contents of the inner package are STERILE., Medtronic, Inc, Minneapolis, MN 55432-5604
• Code Information: LOT NUMBER B0373277K B0373278K B0373279K B0373280K B0373281K B0373282K B0373283K B0373284K B0373285K B0373286K B0373287K B0373288K B0373289K B0373290K B0373291K B0373292K B0373293K B0373294K B0373295K B0373296K B0373297K B0373298K B0373299K B0373300K B0373301K B0373302K B0373303K B0373304K B0373305K B0373306K B0373307K B0373308K B0373309K B0373310K B0373311K B0373312K B0373313K B0373314K B0373315K B0373316K B0373317K B0373318K B0373319K B0373320K B0373321K B0373322K B0373323K B0373324K B0373325K B0373326K B0375290K B0375291K B0375292K B0375293K B0375294K B0375295K B0375296K B0375297K B0375298K B0375299K B0375300K B0375301K B0375302K B0375303K B0375304K B0375305K B0375306K B0375307K B0375308K B0375309K B0375310K B0375311K B0375312K B0375313K B0375314K B0375315K B0375316K B0375317K B0375318K B0375319K B0375320K B0375321K B0375322K B0375323K B0375324K B0375325K B0375326K B0375327K B0375328K B0375329K B0375330K B0375331K B0375332K B0375333K B0375334K B0375335K B0375336K 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• Recalling Firm/ Manufacturer: Medtronic Neuromodulation; 7000 Central Ave NE; Minneapolis MN 55432-3568
• For Additional Information Contact: 763-526-9684
• Manufacturer Reason for Recall: Medtronic is issuing a medical device correction for the Model 3550-39 Titan¿ anchor due to the potential for lead migration as a result of insert separation within the anchor. The Medtronic Model 3550-39 Titan¿ anchor accessory kit is designed for use with Medtronic percutaneous in-line connector spinal cord stimulation leads. Medtronic has received reports of separation of the titanium insert
• FDA Determined Cause: Nonconforming Material/Component
• Action: Consignees were sent a Medtronic "Urgent: Medical Device Correction" letter on 10/27/09. The letter was addressed to "Dear Healthcare Professional" and was dated October 2009. The letter described the problem and the product as well as the Scope and Potential Severity and gave Recommendations. Enclosures with the letter included: Use By Date (UBD) location on the Titan anchor accessory kit product packaging, Titan anchor patient letter, Reply card and Return envelope. Questions are direct to Medtronic via email at rs.neuroqa1a@medtronic.com.
• Quantity in Commerce: 55,600
• Distribution: All states in the United States including Puerto Rico. Australia, New Zealand, Canada, Andurra, Belgium, Czech Republic, Denmark, Finland, France, Germany, Greece, Netherlands, Ireland, Israel, Italy, Kuwait, Lebanon, Luxembourg, Norway, Portugal, South Africa, Spain, Sweden, Switzerland, Tukey, United Kingdom.
• 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 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.

• PMA Database: PMAs with Product Code = LGW and Original Applicant = MEDTRONIC NEUROMODULATION