ICD-VR VISIA AF S US/OUS IS1/DF1, Model Number DVAC3D1; Implantable Cardioverter Defibrillators
- Recall Initiated
- May 10, 2023
- Posted
- June 16, 2023
- Recall Number
- Z-1793-2023
- Quantity
- 176 units
- Firm Location
- Mounds View, MN
Reason for Recall
There is a rare potential for reduced- or no-energy output during high voltage (HV) therapy (typically 0-12J) in implantable cardioverter defibrillators (ICDs) and cardiac resynchronization therapy defibrillators (CRT-Ds) manufactured with a specific (glassed) feedthrough, including currently available ICDs and CRT-Ds.
Distribution
US Nationwide - Worldwide Distribution
Lot / Code Info
GTIN 00643169720770, Lot Serial numbers: BWU600672S, BWU600685S, BWU600654S, BWU600656S, BWU600555S, BWU600638S, BWU600641S, BWU600642S, BWU600647S, BWU600648S, BWU600650S, BWU600651S, BWU600664S, BWU600643S, BWU600645S, BWU600557S, BWU600556S, BWU600763S, BWU600640S, BWU600639S, BWU600649S, BWU600661S, BWU600662S, BWU600663S, BWU600665S, BWU600666S, BWU600671S, BWU600673S, BWU600676S, BWU600646S, BWU600652S, BWU600653S, BWU600655S, BWU600658S, BWU600659S, BWU600667S, BWU600668S, BWU600669S, BWU600684S, BWU600694S, BWU600695S, BWU600696S, BWU600697S, BWU600698S, BWU600699S, BWU600700S, BWU600701S, BWU600702S, BWU600703S, BWU600707S, BWU600708S, BWU600709S, BWU600710S, BWU600711S, BWU600714S, BWU600715S, BWU600716S, BWU600739S, BWU600741S, BWU600758S, BWU600760S, BWU600761S, BWU600762S, BWU600764S, BWU600765S, BWU600766S, BWU600712S, BWU600644S; GTIN 00763000052713, Lot Numbers: BWU600776S, BWU600721S, BWU600810S, BWU600771S, BWU600772S, BWU600774S, BWU600723S, BWU600795S, BWU600820S, BWU600720S, BWU600782S, BWU600768S, BWU600719S, BWU600793S, BWU600717S, BWU600718S, BWU600722S, BWU600726S, BWU600727S, BWU600728S, BWU600729S, BWU600730S, BWU600735S, BWU600778S, BWU600807S, BWU600808S, BWU600809S, BWU600813S, BWU600814S, BWU600815S, BWU600816S, BWU600817S, BWU600819S, BWU600821S, BWU600822S, BWU600830S, BWU600831S, BWU600833S, BWU600834S, BWU600835S, BWU600836S, BWU600704S, BWU600705S, BWU600736S, BWU600767S, BWU600806S, BWU600848S, BWU600849S, BWU600850S, BWU600870S, BWU600876S, BWU600936S, BWU600937S, BWU600939S, BWU600940S, BWU600941S, BWU600769S, BWU600770S, BWU600841S, BWU600845S, BWU600847S, BWU600852S, BWU600853S, BWU600855S, BWU600856S, BWU600860S, BWU600862S, BWU600864S, BWU600869S, BWU600872S, BWU600827S, BWU600828S, BWU600877S, BWU600880S, BWU600886S, BWU600888S, BWU600891S, BWU600893S, BWU600897S, BWU600905S, BWU600907S, BWU600909S, BWU600915S, BWU600916S, BWU600917S, BWU600918S, BWU600919S, BWU600920S, BWU600921S, BWU600775S, BWU600788S, BWU600804S, BWU600777S, BWU600779S, BWU600805S, BWU600832S, BWU600930S, BWU600931S, BWU600914S, BWU600942S, BWU600943S, BWU600944S, BWU600945S, BWU600947S, BWU600951S, BWU600953S, BWU600955S, BWU600956S
Root Cause
Under Investigation by firm
Action Taken
Medtronic issued an URGENT MEDICAL DEVICE CORRECTION NOTICE to its consignees on 05/10/2023 by UPS 2-day delivery or email. Consignees are asked to forward this notification to those who need to be aware within the organization and to any location which the devices have been distributed. The notice explained the problem and the risk and requested the following patient management recommendations: - Prophylactic device replacement is NOT recommended. - Program all HV therapy pathways B>AX in all therapy zones to minimize the risk for this issue. - Prioritize reprogramming patients who have both a history of HV therapy and Rx1 programmed AX>B. - For remaining patients with AX>B programming in any HV therapy sequence, schedule (with appropriate discretion) the next follow-up for in-clinic reprogramming to minimize potential for reduced- or no-energy HV therapies to occur. - Contact Medtronic Technical Services (1-800-929-4043) or your local representative if one of the following is observed as these may be an indication of either a device or lead-related issue: o Reduced- or no-energy HV therapy is displayed in Episode Text (regardless of programmed pathway) o A persistent drop of approximately 50% in RA, RV and LV pacing lead impedance measurements as this may be an indication of increased potential for a future reduced- or no-energy therapy. Update 10/10/2023: Beginning 09/27/2023, Medtronic issued communication via letter to consignees regarding the availability of the revised IFU and SmartSync Software. Consignees are asked to forward this notification to those who need to be aware within the organization and to any location which the devices have been distributed. Consignees are asked to complete and return a confirmation certificate (or equivalent record) confirming they have received the notification.