ClearanceBrief
Recall Z-0022-2016 ยท DTB Permanent Pacemaker Electrode

Medtronic Inc. Cardiac Rhythm Disease Management

Medtronic Medical Device Identification Card for SureScan pacemaker patients. The front of this card identifies the implanted pacing system components currently registered to the patient. The back of the card lists patient's following physician as well as specific messaging regarding the MR conditional status of the device components, where applicable. This card is provided to the patie

DateOct 5, 2015 (initiated Sep 15, 2015)
StatusTerminated
ReasonSome Medical Device Identification Cards provided to SureScan pacemaker patients indicate they have a complete Magnetic Resonance (MR) Conditional system, when in fact, not all of their implanted leads have been FDA approved as MR Conditional.
Root causeProcess control
ActionOn September 15, 2015, Medtronic began mailing an Important Medical Device Identification Card Notification letter, including a corrected Medical Device Identification Card, to impacted patients. The letter described the issue, provided a new corrected Identification Card, asked that the old card be destroyed immediately, and to begin using the new card. Patients can contact Medtronic Patient Services at 1-800-551-5544, option 1, followed by option 3, Monday - Friday, 8am - 5pm Central time.
Quantity777 cards
DistributionUS nationwide distribution.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K883743MEDTRONIC MODEL 4058 PACING LEAD
Medtronic Vascular, Jan 17, 1989
K932172MEDTRONIC MODELS 4057M,4058M,4557M, PACING LEADS
Medtronic Vascular, Dec 8, 1993
K940703MEDTRONIC MODEL 4558M
Medtronic Vascular, Nov 4, 1994