Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0806-2019Class I

Medtronic implantable pulse generator: ADAPTA, Dual chamber pacemaker (DDD): (a) Model Number ADD01 (b) Model...

Medtronic, Inc. / initiated 2019-01-17 / Open, Classified / root cause: design

Medtronic Inc., Cardiac Rhythm and Heart Failure (CRHF) began a recall of Medtronic implantable pulse generator: ADAPTA, Dual chamber pacemaker (DDD): (a) Model Number ADD01 (b) Model Number ADDR01 (c) Model Number ADDR03 (d) Model... on . FDA classified it as Class I and gives the reason as "A subset of Medtronic dual chamber pacemakers distributed worldwide between 10 March 2017 and 7 January 2019 under the brand names Adapta, Versa, and Sensia when programmed to a dual chamber mode with atrial-sensing...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as design.

Recall record

Recall number
Z-0806-2019
Classification
Class I
Status
Open, Classified
Initiated
Posted
Recalling firm
Medtronic, Inc.
Product
Medtronic implantable pulse generator: ADAPTA, Dual chamber pacemaker (DDD): (a) Model Number ADD01 (b) Model Number ADDR01 (c) Model Number ADDR03 (d) Model Number ADDR06 (e) Model Number ADDRL1 (f) Model Number ADDRS1 (g) Model Number ADVDD01
Product code
NVZ Pulse Generator, Permanent, Implantable
Reason for recall
A subset of Medtronic dual chamber pacemakers distributed worldwide between 10 March 2017 and 7 January 2019 under the brand names Adapta, Versa, and Sensia when programmed to a dual chamber mode with atrial-sensing, may experience a circuit error that affects device functionality
Root cause tag
design
FDA root cause
Component design/selection
Action
In the US, beginning 17-Jan-2019, Medtronic Field Representatives hand deliver an FCA Notification Letter to consignees including implanting and follow-up physicians. In consultation with an Independent Physician Quality Panel (IPQP), patient management recommendations were provided with the FCA Notification letter to ensure patient safety. Medtronic Field Representatives will hand deliver an additional Supplemental Letter with the Urgent Medical Device Recall letter to a subset of physicians with patients whose device has shown evidence of a pacing pause that is potentially related to this circuit error. Consignees will be asked to return all unused and unopened affected product to Medtronic.
Quantity in commerce
41802 units
Distribution
Wordlwide
Product codes and lots
ADAPTA, Dual chamber pacemaker (DDD):  (a) Model Number ADD01, GTIN: 00643169708754, All Serial Numbers  (b) Model Number ADDR01, GTIN: 00643169708587, 00643169708594, 00643169708600, 0643169708624, 00643169969711, All Serial Numbers   (c) Model Number ADDR03, GTIN: 00643169708631, 00643169708648, All Serial Numbers  (d) Model Number ADDR06, GTIN: 00643169708655, 00643169708662, All Serial Numbers  (e) Model Number ADDRL1, GTIN: 00643169518247, 00643169708679, 00643169708686, 00643169708709, 00643169969803, All Serial Numbers  (f) Model Number ADDRS1, GTIN: 00643169708716, 00643169708723, 00643169708730, 00643169708747, 00643169969810, All Serial Numbers   (g) Model Number ADVDD01, GTIN: 00643169708761, 00643169708778, 00643169969735, All Serial Numbers

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0806-2019
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0806-2019Class IOngoingVoluntary: Firm initiated
Z-0807-2019Class IOngoingVoluntary: Firm initiated
Z-0808-2019Class IOngoingVoluntary: Firm initiated
Z-0809-2019Class IOngoingVoluntary: Firm initiated
Z-0810-2019Class IOngoingVoluntary: Firm initiated
Z-0811-2019Class IOngoingVoluntary: Firm initiated
Z-0812-2019Class IOngoingVoluntary: Firm initiated