Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0707-2020Class II

Medtronic Adapter Percutaneous Pin, REF 9734752 (GTIN 00643169529489) and REF 9734752-G02 (GTIN...

Medtronic Navigation, Inc / initiated 2018-12-06 / Terminated / root cause: design

Medtronic Navigation, Inc. began a recall of Medtronic Adapter Percutaneous Pin, REF 9734752 (GTIN 00643169529489) and REF 9734752-G02 (GTIN 00763000054915), contained in the following kits: Upgrade Set... on . FDA classified it as Class II and gives the reason as "Under certain circumstances, the percutaneous pin adapter used with the StealthAir Frame Assembly may slightly rotate after surgical placement and not return to its original position, even when connections are tight and...". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-0707-2020
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Medtronic Navigation, Inc
Product
Medtronic Adapter Percutaneous Pin, REF 9734752 (GTIN 00643169529489) and REF 9734752-G02 (GTIN 00763000054915), contained in the following kits: Upgrade Set Percutaneous Pin, REF 9735502 (GTIN 00643169529533) and REF 9735502-G02 (GTIN 00763000208462); Medtronic Adapter Percutaneous Pin Kit, REF 9734752K (GTIN 00643169540521); and Medtronic Adapter Percutaneous Pin Kit, REF 9734752K (GTIN 00643169641006) (Japan). The percutaneous pin adapter is a component of the StealthAir Frame Assembly.
Product code
OLO Orthopedic Stereotaxic Instrument
Reason for recall
Under certain circumstances, the percutaneous pin adapter used with the StealthAir Frame Assembly may slightly rotate after surgical placement and not return to its original position, even when connections are tight and secure.
Root cause tag
design
FDA root cause
Device Design
Action
The recalling firm issued a Dear Healthcare Professional letter dated 12/6/2018 via FedEx explaining the issue and requesting the consignee examine their inventory and quarantine the percutaneous pin adapter for return to the firm. Only the percutaneous pin adapter was to be returned and not the remaining items in the assembly.
Quantity in commerce
1,297 percutaneous pin adapters
Distribution
Distribution was nationwide. There was government/military/foreign distribution.
Product codes and lots
Percutaneous pin adapter lot numbers: 150114, 150505, 150506, 150904, 151005, 151007 160201, 160224, 160419, 160617, 160707, 170216, 180110, and 180409.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0707-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0707-2020Class IITerminatedVoluntary: Firm initiated