Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1428-2020Class I

HeartWare HVAD System Battery Charger AC Adapter The HeartWare HVAD System is indicated for hemodynamic...

HeartWare, Inc. / initiated 2020-01-23 / Open, Classified / root cause: design

Heartware, Inc. began a recall of HeartWare HVAD System Battery Charger AC Adapter The HeartWare HVAD System is indicated for hemodynamic support in patients with advanced, refractory left... on . FDA classified it as Class I and gives the reason as "Potential for an HVAD System user to mistakenly insert the Battery Charger AC Adapter into an HVAD Controller power port". As of , the recall status on record is Open, Classified, and MDM tags the root cause as design.

Recall record

Recall number
Z-1428-2020
Classification
Class I
Status
Open, Classified
Initiated
Posted
Recalling firm
HeartWare, Inc.
Product
HeartWare HVAD System Battery Charger AC Adapter The HeartWare HVAD System is indicated for hemodynamic support in patients with advanced, refractory left ventricular heart failure; either as a Bridge to Cardiac Transplantation (BTT), myocardial recovery, or as Destination Therapy (DT) in patients for whom subsequent transplantation is not planned.
Product code
DSQ Ventricular (Assist) Bypass
Reason for recall
Potential for an HVAD System user to mistakenly insert the Battery Charger AC Adapter into an HVAD Controller power port.
Root cause tag
design
FDA root cause
Device Design
Action
Heartware notified customers on about 01/23/2020 via "Urgent Field Safety Notice" letter. Customers were notified of the potential for an HVAD System user to mistakenly insert the Battery Charger AC Adapter into an HVAD Controller power port. When this occurs, communication circuits between the battery and the Controller may be damaged. If circuit damage occurs, it will be necessary to exchange the Controller to restore communication between the batteries and Controller. Instructions included to advise patients to carefully follow the guidance provided in the patient manual related to connecting a power source. Pay attention when connecting and disconnecting power supply cables to ensure users verify the correct cable is being connected to their Controller. Patients were instructed to report any persistent, unexpected audible tones to their Clinician for additional instructions. Additional instructions included to ensure all personnel within your organization or any customers if further distributed are notified of this recall. If you have any questions, please contact the Cardiac and Vascular Group Customer Focused Quality at 763-526-2513 or by email to: [email protected].
Quantity in commerce
5,489 devices total
Distribution
No affected devices distributed within the US. International distribution to Australia, Austria, Belgium, Brazil, Canada, Chile, Colombia, Croatia, Czech Republic, Denmark, EGYPT, Estonia, Finland, France, Germany, Greece, Hong Kong, India, Israel, Italy, Japan, Kazakhstan, Korea, Korea, Republic of, Kuwait, Latvia, Lebanon, Lithuania, Luxembourg, Macedonia, Malaysia, Netherlands, New Zealand, Norway, Poland, Romania, Saudi Arabia, Serbia, Singapore, Slovakia, South Africa, Spain, Sweden, Switzerland, Taiwan, Taiwan, Province of China, Turkey, United Arab Emirates, United Kingdom, Vietnam.
Product codes and lots
Model Number: 1640, all Serial Numbers.   Known Model Numbers (Serial Numbers) GTIN Numbers: 1640CA (BAC004576) 00888707001298,  1640GB (BAC004765) 00888707001328,  1640GB (BAC004768) 00888707001328,  1640AR (BAC004772) 00888707001274,  1640IN (BAC004829) 00888707000543,  1640DE (BAC005530) 00888707001304,  1640CA (BAC005842) 00888707001298,  1640CA (BAC005854) 00888707001298,  1640BR (BAC005875) 00888707001281,  1640BR (BAC005876) 00888707001281,  1640GB (BAC005920) 00888707001328,  1640AU (BAC005966) 00888707001267,  1640AU (BAC005980) 00888707001267,  1640IN (BAC005997) 00888707000543,  1640AU (BAC006001) 00888707001267,  1640IL (BAC006027) 00888707001335,  1640IT (BAC006032) 00888707001342,  1640IN (BAC006033) 00888707000543,  1640IN (BAC006034) 00888707000543,  1640IN (BAC006035) 00888707000543,  1640IN (BAC006036) 00888707000543,  1640IL (BAC006037) 00888707001335,  1640IL (BAC006038) 00888707001335,  1640GB (BAC006039) 00888707001328,  1640DE (BAC006040) 00888707001304,  1640DE (BAC006041) 00888707001304,  1640DE (BAC006056) 00888707001304,  1640CA (BAC006087) 00888707001298,  1640IN (BAC006102) 00888707000543,  1640IN (BAC006104) 00888707000543,  1640DE (BAC090005) 00888707002325,  1640CH (BAC090006) 00888707002318,  1640CH (BAC090012) 00888707002318,  1640GB (BAC090079) 00888707002332,  1640IT (BAC090082) 00888707002363,  1640IT (BAC090083) 00888707002363,  1640GB (BAC090084) 00888707002332,  1640CH (BAC090165) 00888707002318,  1640CH (BAC090166) 00888707002318,  1640DE (BAC090167) 00888707002325,  1640DE (BAC090168) 00888707002325,  1640DE (BAC090170) 00888707002325,  1640GB (BAC090171) 00888707002332,  1640GB (BAC090172) 00888707002332,  1640IT (BAC090173) 00888707002363,  1640IT (BAC090174) 00888707002363,  1640DE (BAC090175) 00888707002325,  1640IN (BAC090237) 00888707002356,  1640IN (BAC090238) 00888707002356,  1640DE (BAC090414) 00888707002325,  1640DE (BAC090415) 00888707002325,  1640DE (BAC090416) 00888707002325,  1640DE (BAC090417) 00888707002325,  1640DE (BAC090447) 00888707002325,  1640DE (BAC090448) 00888707002325,  1640IT (BAC090611) 00888707002363,  1640AU (BAC090659) 00888707002288,  1640AU (BAC090660) 00888707002288,  1640CA (bac090661) 00888707002301,  1640CA (BAC090662) 00888707002301,  1640GB (BAC090663) 00888707002332,  1640GB (BAC090664) 00888707002332,  1640IT (BAC090665) 00888707002363,  1640DE (BAC090666) 00888707002325,  1640DE (BAC090667) 00888707002325,  1640AU (BAC090732) 00888707002288,  1640AU (bac090733) 00888707002288,  1640GB (BAC090734) 00888707002332,  1640GB (BAC090735) 00888707002332,  1640DE (BAC090864) 00888707002325,  1640DE (BAC090976) 00888707002325,  1640DE (BAC091324) 00888707003018,  1640DE (BAC091325) 00888707003018,  1640DE (BAC091326) 00888707003018,  1640DE (BAC091327) 00888707003018,  1640DE (BAC091330) 00888707003018,  1640DE (BAC091331) 00888707003018,  1640DE (BAC091332) 00888707003018,  1640DE (BAC091333) 00888707003018,  1640DE (BAC091420) 00888707003018,  1640DE (BAC091421) 00888707003018,  1640CA (BAC091690) 00888707003056,  1640CA (BAC091691) 00888707003056,  1640DE (BAC091695) 00888707003018,  1640DE (BAC091696) 00888707003018,  1640DE (BAC091697) 00888707003018,  1640DE (BAC091698) 00888707003018,  1640DE (BAC091699) 00888707003018,  1640DE (BAC091700) 00888707003018,  1640DE (BAC091701) 00888707003018,  1640DE (BAC091702) 00888707003018,  1640DE (BAC091703) 00888707003018,  1640DE (BAC091704) 00888707003018,  1640GB (BAC091738) 00888707003025,  1640GB (BAC091739) 00888707003025,  1640DE (BAC091741) 00888707003018,  1640GB (BAC091743) 00888707003025,  1640GB (BAC091744) 00888707003025,  1640DE (BAC091758) 00888707003018,  1640DE (BAC091811) 00888707003018,  1640DE (BAC091812) 00888707003018,  1640DE (BAC092205) 00888707003018,  1640DE (BAC092206) 00888707003018,  1640IT (BAC092283) 00888707003032,  1640GB (BAC092289) 00888707003025,  1640JP (BAC092290) 00888707002370,  1640JP (BAC092292) 00888707002370,  1640CA (BAC092294) 00888707003056,  1640DE (BAC092332) 00888707003018,  1640DE (BAC092333) 00888707003018,  1640DE (BAC092334) 00888707003018,  1640DE (BAC092335) 00888707003018,  1640DE (BAC092391) 00888707003018,  1640IN (BAC092396) 00888707003049,  1640JP (BAC092459) 00888707002370,  1640DE (BAC092495) 00888707003018,  1640DE (BAC092506) 00888707003018,  1640DE (BAC092556) 00888707003018,  1640DE (BAC092557) 00888707003018,  1640DE (BAC092558) 00888707003018,  1640DE (BAC092559) 00888707003018,  1640DE (BAC092560) 00888707003018,  1640JP (BAC092595) 00888707002370,  1640JP (BAC092680) 00888707002370,  1640JP (BAC092681) 00888707002370,  1640JP (BAC092682) 00888707002370,  1640JP (BAC092683) 00888707002370,  1640JP (BAC092684) 00888707002370,  1640JP (BAC092685) 00888707002370,  1640JP (BAC092687) 00888707002370,  1640JP (BAC092689) 00888707002370,  1640JP (BAC092690) 00888707002370,  1640GB (BAC092748) 00888707003025,  1640GB (BAC092752) 00888707003025,  1640DE (BAC092760) 00888707003018,  1640IN (BAC100001) 00888707005913,  1640IN (BAC100002) 00888707005913,  1640GB (BAC100003) 00888707005890,  1640GB (BAC100004) 00888707005890,  1640DE (BAC100005) 00888707005883,  1640CA (BAC100006) 00888707005869,  1640IT (BAC100009) 00888707005920,  1640IT (BAC100010) 00888707005920,  1640CA (BAC100015) 00888707005869,  1640DE (BAC100030) 00888707005883,  1640DE (BAC100031) 00888707005883,  1640CA (BAC100256) 00888707005869,  1640CA (BAC100349) 00888707005869,  1640DE (BAC100385) 00888707005883,  1640CA (BAC100391) 00888707005869,  1640GB (BAC100402) 00888707005890,  1640IT (BAC100412) 00888707005920,  1640GB (BAC100413) 00888707005890,  1640GB (BAC100414) 00888707005890,  1640GB (BAC100415) 00888707005890,  1640DE (BAC100451) 00888707005883,  1640DE (BAC100452) 00888707005883,  1640GB (BAC100525) 00888707005890,  1640CH (BAC100597) 00888707005876,  1640IL (BAC100599) 00888707005906,  1640CH (BAC100600) 00888707005876,  1640DE (BAC100725) 00888707005883,  1640GB (BAC100742) 00888707005890,  1640GB (BAC100743) 00888707005890,  1640GB (BAC100866) 00888707005890,  1640GB (BAC100867) 00888707005890,  1640GB (BAC100868) 00888707005890,  1640DE (BAC000048) 00888707001304,  1640DE (BAC000122) 00888707001304,  1640DE (BAC000123) 00888707001304,  1640DE (BAC000125) 00888707001304,  1640CA (BAC000544) 00888707001298,  1640DE (BAC002505) 00888707001304,  1640DE (BAC091485) 00888707003018,  1640DE (BAC091486) 00888707003018,  1640DE (BAC091487) 00888707003018,  1640DE (BAC091488) 00888707003018,  1640DE (BAC091489) 00888707003018,  1640DE (BAC091494) 00888707003018,  1640DE (BAC091495) 00888707003018,  1640DE (BAC091496) 00888707003018,  1640DE (BAC091497) 00888707003018,  1640DE (BAC091498) 00888707003018,  1640DE (BAC091499) 00888707003018,  1640DE (BAC091500) 00888707003018,  1640DE (BAC091501) 00888707003018,  1640DE (BAC091502) 00888707003018,  1640DE (BAC091503) 00888707003018,  1640DE (BAC091504) 00888707003018,  1640DE (BAC091505) 00888707003018,  1640DE (BAC091506) 00888707003018,  1640DE (BAC091507) 00888707003018,  1640DE (BAC091539) 00888707003018,  1640IN (BAC091710) 00888707003049,  1640IN (BAC091711) 00888707003049,  1640IT (BAC091715) 00888707003032,  1640CA (BAC091716) 00888707003056,  1640CA (BAC091717) 00888707003056,  1640CA (BAC091718) 00888707003056,  1640CA (BAC091719) 00888707003056,  1640IT (BAC091735) 00888707003032,  1640IT (BAC091736) 00888707003032,  1640IT (BAC091737) 00888707003032,  1640GB (BAC091742) 00888707003025,  1640GB (BAC091805) 00888707003025,  1640GB (BAC091806) 00888707003025,  1640GB (BAC091807) 00888707003025,  1640GB (BAC091808) 00888707003025,  1640DE (BAC091813) 00888707003018,  1640DE (BAC091814) 00888707003018,  1640JP (BAC091961) 00888707002370,  1640AU (BAC000247) 00888707001267,  1640AU (BAC000679) 00888707001267,  1640AU (BAC001066) 00888707001267,  1640AU (BAC001076) 00888707001267,  1640DE (BAC001196) 00888707001304,  1640CH (BAC001384) 00888707001311,  1640IL (BAC001707) 00888707001335,  1640CH (BAC001811) 00888707001311,  1640CH (BAC001812) 00888707001311,  1640IT (BAC001815) 00888707001342,  1640CH (BAC001818) 00888707001311,  1640IT (BAC001828) 00888707001342,  1640AR (BAC001852) 00888707001274,  1640BR (BAC001980) 00888707001281,  1640IL (BAC001982) 00888707001335,  1640IN (BAC002000) 00888707000543,  1640AR (BAC002157) 00888707001274,  1640AU (BAC002192) 00888707001267,  1640AU (BAC002333) 00888707001267,  1640JP (BAC002547) 00888707001359,  1640JP (BAC002548) 00888707001359,  1640CA (BAC002777) 00888707001298,  1640CA (BAC002778) 00888707001298,  1640CA (BAC002779) 00888707001298,  1640CA (BAC002780) 00888707001298,  1640CA (BAC002781) 00888707001298,  1640CA-CLIN (BAC003225) 00888707001571,  1640CA-CLIN (BAC003226) 00888707001571,  1640CA-CLIN (BAC003227) 00888707001571,  1640CA-CLIN (BAC003228) 00888707001571,  1640DE (BAC003345) 00888707001304,  1640DE (BAC003346) 00888707001304,  1640DE (BAC003349) 00888707001304,  1640GB (BAC003354) 00888707001328,  1640GB (BAC003357) 00888707001328,  1640GB (BAC003358) 00888707001328,  1640GB (BAC003359) 00888707001328,  1640GB (BAC003462) 00888707001328,  1640DE (BAC004553) 00888707001304,  1640CA (BAC004575) 00888707001298,  1640CH (BAC004665) 00888707001311,  1640IL (BAC004763) 00888707001335,  1640IL (BAC004766) 00888707001335,  1640GB (BAC004769) 00888707001328,  1640AR (BAC004771) 00888707001274,  1640AU (BAC004773) 00888707001267,  1640IT (BAC004774) 00888707001342,  1640GB (BAC004775) 00888707001328,  1640IT (BAC004777) 00888707001342,  1640IN (BAC004830) 00888707000543,  1640DE (BAC005320) 00888707001304,  1640IN (BAC005967) 00888707000543,  1640IN (BAC005968) 00888707000543,  1640IN (BAC005969) 00888707000543,  1640IN (BAC005970) 00888707000543,  1640AU (BAC005973) 00888707001267,  1640AU (BAC005981) 00888707001267,  1640IL (BAC006018) 00888707001335,  1640IL (BAC006019) 00888707001335,  1640IL (BAC006020) 00888707001335,  1640IL (BAC006021) 00888707001335,  1640IT (BAC006022) 00888707001342,  1640IT (BAC006023) 00888707001342,  1640IT (BAC006024) 00888707001342,  1640IT (BAC006025) 00888707001342,  1640IN (BAC006103) 00888707000543,  1640IN (BAC006105) 00888707000543,  1640IL (BAC090222) 00888707002349,  1640IL (BAC090226) 00888707002349,  1640GB (BAC090437) 00888707002332,  1640IT (BAC092284) 00888707003032,  1640IN (BAC092285) 00888707003049,  1640IN (BAC092287) 00888707003049,  1640GB (BAC092288) 00888707003025,  1640IN (BAC092397) 00888707003049,  1640IN (BAC092460) 00888707003049,  1640IN (BAC092465) 00888707003049,  1640JP (BAC092592) 00888707002370,  1640JP (BAC092593) 00888707002370,  1640DE (BAC006047) 00888707001304,  1640DE (BAC006002) 00888707001304,  1640GB (BAC006107) 00888707001328,  1640GB (BAC006108) 00888707001328,  1640AU (BAC005907) 00888707001267,  1640AU (BAC001853) 00888707001267,  1640AU (BAC001856) 00888707001267,  1640DE (BAC003922) 00888707001304,  1640DE (BAC004552) 00888707001304,  1640DE (BAC004347) 00888707001304,  1640IT (BAC004173) 00888707001342,  1640GB (BAC004836) 00888707001328,  1640DE (BAC003839) 00888707001304,  1640IN (BAC004701) 00888707000543,  1640CH (BAC004116) 00888707001311,  1640DE (BAC004350) 00888707001304,  1640DE (BAC004176) 00888707001304,  1640DE (BAC004354) 00888707001304,  1640DE (BAC004348) 00888707001304,  1640DE (BAC004351) 00888707001304,  1640DE (BAC003112) 00888707001304,  1640DE (BAC003347) 00888707001304,  1640GB (BAC003451) 00888707001328,  1640GB (BAC001199) 00888707001328,  1640GB (BAC001820) 00888707001328,  1640GB (BAC001823) 00888707001328,  1640DE (BAC002494) 00888707001304,  1640DE (BAC002506) 00888707001304,  1640GB (BAC000809) 00888707001328,  1640CA (BAC002260) 00888707001298,  1640CA (BAC002271) 00888707001298,  1640CA (BAC002335) 00888707001298,  1640JP (BAC002631) 00888707001359,  1640DE (BAC001834) 00888707001304,  1640DE (BAC001829) 00888707001304,  1640DE (BAC000030) 00888707001304,  1640DE (BAC001833) 00888707001304,  1640DE (BAC000026) 00888707001304,  1640CA (BAC001804) 00888707001298,  1640CA (BAC001808) 00888707001298,  1640CA (BAC002334) 00888707001298,  1640DE (BAC001830) 00888707001304,  1640DE (BAC000065) 00888707001304,  1640DE (BAC000069) 00888707001304,  1640DE (BAC000070) 00888707001304,  1640DE (BAC000071) 00888707001304

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1428-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1427-2020Class IOngoingVoluntary: Firm initiated
Z-1428-2020Class IOngoingVoluntary: Firm initiated