Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1109-2007

Thoratec Paracorporeal Ventricular Assist Device (PVAD) component of the Thoratec VAD system. Catalog number...

Abbott Medical / initiated 2007-03-30 / Terminated / root cause: design

Thoratec Corp began a recall of Thoratec Paracorporeal Ventricular Assist Device (PVAD) component of the Thoratec VAD system. Catalog number 14086-2550-000 on . The reason FDA records is "Incorrect collect nut assembly (inadvertent use of the incorrect (Black) collect nut) during surgical implantation (wrong size collect nut) to secure the inflow cannula to the PVAD has resulted in patient deaths". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-1109-2007
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Abbott Medical
Product
Thoratec Paracorporeal Ventricular Assist Device (PVAD) component of the Thoratec VAD system. Catalog number 14086-2550-000.
Product code
DSQ Ventricular (Assist) Bypass
Reason for recall
Incorrect collect nut assembly (inadvertent use of the incorrect (Black) collect nut) during surgical implantation (wrong size collect nut) to secure the inflow cannula to the PVAD has resulted in patient deaths
Root cause tag
design
FDA root cause
Device Design
Action
The firm has issued an Urgent Medical Device Correction notice dated March 30, 2007, to all VAD customers alerting them to the hazard. The letter instructs them that a Thoratec representative will be contacting them to make arrangements to apply a warning label to the affected devices. The letter also informs them to dispose of any expired original design caged tip atrial cannula and to 1) not use the black collet and nut with any current design VAD, 2) make sure that all current patients using PVADs are using the appropriate collet nut, and 3) provide a copy of the product safety bulletin to all outlying hospitals and/or physicians that may be following patients implanted with PVADs and provide contact information with the acknowledgement form.
Quantity in commerce
2,484 units
Distribution
Class I Recall - Worldwide Distribution --- USA, Canada, Australia, Mexico, Singapore, Taiwan, Thailand, Austria, France, Germany, Israel, and Switzerland.
Product codes and lots
Catalog Number 14086-2550-000, bearing serial numbers 10745 or less