Medical Device
Manufacturing
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Z-1528-2014Class II

INOmax DSIR, model 10007, Nitric Oxide Delivery System, with Software version 3.0.0. The INOmax DS delivery...

Mallinckrodt Manufacturing LLC / initiated 2014-03-27 / Terminated / root cause: software

INO Therapeutics (dba Ikaria) began a recall of INOmax DSIR, model 10007, Nitric Oxide Delivery System, with Software version 3.0.0. The INOmax DS delivery system delivers INOMAX (nitric oxide for... on . FDA classified it as Class II and gives the reason as "An anomaly impacts the monitoring system of INOmax DSIR Plus (software 3.0.0). When the integrated pneumatic backup switch is activated with low or no gas flow through the injector module, an intended NO cell failure...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1528-2014
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Mallinckrodt Manufacturing LLC
Product
INOmax DSIR, model 10007, Nitric Oxide Delivery System, with Software version 3.0.0. The INOmax DS delivery system delivers INOMAX (nitric oxide for inhalation) therapy gas and provides continuous monitoring of inspired O2, NO2, and NO, and a comprehensive alarm system. The primary targeted clinical setting is the Neonatal Intensive Care Unit (NICU) and secondary targeted clinical setting is the transport of neonates.
Product code
MRN Apparatus, Nitric Oxide Delivery
Reason for recall
An anomaly impacts the monitoring system of INOmax DSIR Plus (software 3.0.0). When the integrated pneumatic backup switch is activated with low or no gas flow through the injector module, an intended NO cell failure alarm will occur. In addition, an unintended NO2 cell failure alarm may also occur. The NO/NO2 cell failure alarms are caused by an average NO/NO2 circuit concentration greater tha
Root cause tag
software
FDA root cause
Software Design Change
Action
Ikaria sent an Urgent Field Corrective Action letter via FedEx on March 27, 2014. The letter identified the issue, and requested that all INOmax DSIR with software version 3.0.0 be returned to Ikaria. Customers with questions were instructed to contact Ikaria Customer Care at 1-877-566-9466. For questions regarding this recall call 877-566-9466.
Quantity in commerce
22
Distribution
Nationwide Distribution including DC and VA.
Product codes and lots
Serial Numbers: DS20080152, DS20090218, DS20090243, DS20090271, DS20090523, DS20090598, DS20090821, DS20090925, DS20101022, DS20101076, DS20101147, DS20101374, DS20101413, DS20101420,  DS20101499, DS20101637, DS20111199, DS20120099, DS20120150, DS20120169, DS20120288, DS20120306.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1528-2014
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1528-2014Class IITerminatedVoluntary: Firm initiated