Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1119-2020Class III

LivaNova Sorin Connect DPIII KOMPL. S5 REF 96-415-130, 2017-08-15, IPX1, RXOnly, (01)04033817901594

LivaNova USA, Inc. / initiated 2019-01-28 / Terminated / root cause: labeling and UDI

LivaNova USA Inc. began a recall of LivaNova Sorin Connect DPIII KOMPL. S5 REF 96-415-130, , IPX1, RXOnly, (01)04033817901594 Product Usage: The S5 System is used to perform, control... on . FDA classified it as Class III and gives the reason as "Incorrect labeling; it was identified that some Datapad devices contained incorrect labels. Specifically the manufacturing date in the production identifier was incorrect and the manufacturing date on the unique device...". As of , the recall status on record is Terminated, and MDM tags the root cause as labeling and UDI.

Recall record

Recall number
Z-1119-2020
Classification
Class III
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
LivaNova USA, Inc.
Product
LivaNova Sorin Connect DPIII KOMPL. S5 REF 96-415-130, 2017-08-15, IPX1, RXOnly, (01)04033817901594 Product Usage: The S5 System is used to perform, control and monitor extracorporeal blood circulation during an operation for up to six hours.
Product code
DTQ Console, Heart-Lung Machine, Cardiopulmonary Bypass
Reason for recall
Incorrect labeling; it was identified that some Datapad devices contained incorrect labels. Specifically the manufacturing date in the production identifier was incorrect and the manufacturing date on the unique device identifier label was labeled in the format of yy-mm-dd instead of yyyy-mm-dd.
Root cause tag
labeling and UDI
FDA root cause
Error in labeling
Action
On 01/28/2019, a Medical Device Correction letter was mailed to affected consignees. The letter asked customers to take the following actions: 1. Please check your inventory using the list of affected products delivered to your facility in Attachment 1; 2. Using the attached Customer Response Form (Attachment 2), please respond by email to [email protected] to confirm that you have affected products in your facility. Your LivaNova reference person will contact you for the replacement of the product labels with labels bearing the correct manufacturing date. 3. Please ensure that this Medical Device Correction is communicated to all personnel within your organization who need to be aware of it. If you have transferred any of the affected devices to a third party, please communicate this information to them and inform the LivaNova Quality Assurance Team at [email protected]. 4. For questions regarding this Medical Device Correction, please contact us at (800) 986-4702 or by e-mail to [email protected].
Quantity in commerce
5 Datapads
Distribution
US: NJ and CA
Product codes and lots
Device Model, Catalog Number, Serial Number: SORIN CONNECT DPIII KOMPL. S5, 24-90-80, 17BQC0247 SORIN CONNECT DPIII KOMPL. S5, 24-90-80, 17BQC0249 SORIN CONNECT DPIII KOMPL. S5, 24-90-80, 17BQC0250 SORIN CONNECT DPIII KOMPL. S5, 24-90-80, 17BQC0258 DATAPADIII WITHOUT SOFTWARE, 24-90-87, 17BQC0257

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1119-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1119-2020Class IIITerminatedVoluntary: Firm initiated