The Recall Desk
Agency classClass IOur severity:SevereFDA (Devices)·Z-1767-2023·Announced 2023-06-28

Implantable Defibrillators Risk Therapy Failure Due to Feedthrough Defect

Certain Medtronic implantable cardioverter defibrillators may fail to deliver high-voltage therapy due to a specific feedthrough defect. The 4,767 affected units were distributed nationwide and worldwide.

The agency’s classification

FDA (Devices): Class I

Class I is a situation in which there is a reasonable probability that the use of or exposure to a violative product will cause serious adverse health consequences or death.

This is the agency’s own classification, taken from its notice. The severity score below is our assessment, not the agency’s. How recall classes work

What this means for you

Our assessment, not the agency’s: severity 4/5 (Severe).

The hazard poses a serious risk of illness, injury, or structural failure. Stop using the product immediately and contact the manufacturer for a refund or repair.

Our severity reasoning: FDA Class I designation requires a minimum score of 4. This defect poses a serious patient safety risk by potentially preventing lifesaving high-voltage therapy delivery in critical cardiac situations, though no illnesses or deaths have been reported.

Plain-English summary

Medtronic Inc. is recalling certain CRTD DTMB2Q1 AMPLIA MRI QUAD OUS DF1 implantable cardioverter defibrillators (ICDs) and cardiac resynchronization therapy defibrillators (CRT-Ds) manufactured with a specific glassed feedthrough. This defect creates a rare potential for reduced or no-energy output during high-voltage (HV) therapy, typically when delivering 0 to 12 joules of energy.

The affected devices may fail to deliver adequate therapy to patients who depend on these implanted devices to treat life-threatening heart rhythms. A total of 4,767 units with specific lot serial numbers were distributed throughout the United States and worldwide.

Patients who have received one of the affected devices should contact Medtronic or their implanting cardiologist or electrophysiologist for guidance. Healthcare providers can identify potentially affected units using the provided lot serial numbers and determine whether device replacement or other clinical intervention is necessary.

The recalled product

Product
CRTD DTMB2Q1 AMPLIA MRI QUAD OUS DF1, Model Number DTMB2Q1; Implantable Cardioverter Defibrillators
Affected units
4,767

Is your product affected?

Check your packaging against the codes below. If any of them match, the product is part of this recall.

Lot numbers (20)

  • GTIN 00643169837638
  • Lot Serial Numbers: RPP602125S
  • RPP602593S
  • RPP603699S
  • RPP602902S
  • RPP602417S
  • RPP601873S
  • RPP602956S
  • RPP601533S
  • RPP603620S
  • RPP600808S
  • RPP603725S
  • RPP602431S
  • RPP602451S
  • RPP602452S
  • RPP602460S
  • RPP602737S
  • RPP602741S
  • RPP602778S
  • RPP602780S

Distribution

Distributed nationwide across the United States.

Part of a larger recall action

This product is one of 120 recalled by Medtronic Inc., Cardiac Rhythm and Heart Failure (CRHF) under a single FDA (Devices) recall action. The agency files each product separately, so the size of the action is not visible from this page alone.

See all 120 products in this recall →

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