Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2205-2012Class I

Alaris Pump Module Model 8100 (formerly Medley Pump Module) Subsequent

CareFusion 303, Inc / initiated 2012-06-15 / Terminated / root cause: design

CareFusion 303, Inc. began a recall of Alaris Pump Module Model 8100 (formerly Medley Pump Module) Subsequent Product Code: FPA. The Pump module is intended for facilities that utilize infusion for... on . FDA classified it as Class I and gives the reason as "The recall was initiated because Carefusion has identified a potential risk associated with the Alaris Pump module model 8100. The pump module door keypad overlay may separate from the keypad assembly". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-2205-2012
Classification
Class I
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
CareFusion 303, Inc
Product
Alaris Pump Module Model 8100 (formerly Medley Pump Module) Subsequent Product Code: FPA. The Pump module is intended for facilities that utilize infusion for the delivery of fluids, medications, blood, and blood products using continuous or intermittent delivery through clinically acceptable routes of administration; such as, intravenous (IV), intra-arterial (IA),subcutaneous, epidural, enteral, or irrigation of fluid spaces. The Pump module is indicated for use on adults, pediatrics, and neonates.
Product code
FRN Pump, Infusion
Reason for recall
The recall was initiated because Carefusion has identified a potential risk associated with the Alaris Pump module model 8100. The pump module door keypad overlay may separate from the keypad assembly
Root cause tag
design
FDA root cause
Device Design
Action
CareFusion sent an "URGENT: MEDICAL DEVICE RECALL NOTIFICATION" letter dated July 20, 2012. The letter identified the product, problem, and actions to be taken by the customers. The potential risk identified in the letter was that when the pump module door keypad overlay has delaminated (loose, peeled away or separated from the door assembly) this could cause a potential for fluid ingress which could lead to a keypad malfunction causing termination of infusion with alarm. Termination of infusion could result in serious injury or death. Customers were informed that CareFusion will contact their facility with in 60 days of receiving the notification to schedule a visit to replace the door assembly of their affected pump module. Customers with recall related questions were instructed to contact CareFusion Support Center at (888) 562-6018. Customers with adverse event reports questions were instructed to contact Customer advocacy at (800) 854-7128, option 1, option 1, option 3 or e-mail at customer feedback @carefusion.com. Customers with technical questions were instructed to contact technical support at (888) 812-3229. Customers were instructed to promptly complete and return the enclosed Customer Response Card to expedite the corrective action process.
Quantity in commerce
43,862 units total (40,780 units in the US)
Distribution
Worldwide Distribution-USA (nationwide) and the countries of Australia, European Union, and South Africa.
Product codes and lots
Model 8100; Lot/Serial numbers-various

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2205-2012
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2205-2012Class ITerminatedVoluntary: Firm initiated