Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2061-2019Class III

Breast Milk Transfer Lid for use with Oral Syringe Connectors Model: 90003S-100

Medela AG / initiated 2018-12-05 / Terminated / root cause: manufacturing process

Medela Inc began a recall of Breast Milk Transfer Lid for use with Oral Syringe Connectors Model: 90003S-100 on . FDA classified it as Class III and gives the reason as "The sterility may be compromised due to a potential breach in the packaging, even though it may appear intact". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-2061-2019
Classification
Class III
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Medela AG
Product
Breast Milk Transfer Lid for use with Oral Syringe Connectors Model: 90003S-100
Product code
FMF Syringe, Piston
Reason for recall
The sterility may be compromised due to a potential breach in the packaging, even though it may appear intact.
Root cause tag
manufacturing process
FDA root cause
Equipment maintenance
Action
On 12/5/2018, Medela LLC notified distributors, medical facilities, and sales representatives a certified letter titled, "IMPORTANT: DEVICE RECALL." Instructions for distributors included the following steps: 1. Sign the form provided to confirm it was received, read and understood; 2. Identify product from the affected lots in inventory and record the quantity, including lot numbers; 3. Identify product from the affected lots that have been distributed to your Medical Facility customers and either record each customer name, address and phone number and attach to the form OR record the number of customers to whom it has been distributed to and send each customer a copy of the Medical Facility Notice of Product Recall and a copy of the Medical Facility Breast Milk Transfer Lid Recall & Product Inventory Confirmation Form; 4. Submit the completed and signed Form along with attachments to Medela LLC; 5. Upon receipt, Medella LLC will provide a Return Material Authorization (RMA) number and Medella LLC will send each of the customers on listed on the returned Form a copy of the Medical Facility Notice of Product Recall and a copy of the Medical Facility Breast Milk Transfer Lid Recall & Product Inventory Confirmation Form; and 6. Once the RMA number is received, return the affected product to Medella LLC McHenry, IL. Instructions for medical facilities included the following steps: 1. Sign the Form provided to confirm it was received, read and understood; 2. Identify product from the affected lots in inventory and record the quantity, including lot numbers; 3. Submit the completed and signed Form along with attachments to Medela LLC; 4. Upon receipt, Medella LLC will provide a Return Material Authorization (RMA) number; and 5. Once the RMA number is received, return the affected product to Medella LLC McHenry, IL. Instructions for sales representatives included the following steps: 1. Sign the form provided to confirm it was received, read and under
Quantity in commerce
665,600 lids (6,656 cases)
Distribution
Nationwide distribution in IL, MO, NE, OH, RI, TN, TX, VA. International distribution in Canada Internal Medela and sales reps located in CA, CO, IL, LA, NC, NJ, NV, PA, SC, TN, TX Domestic Hospitals located in AL, AR, AZ, CA, CO, CT, DE, FL, GA, IA, IL, IN, KS, KY, LA, MA, MD, MN, MO, MS, MT, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, VA, VT, WA, WI
Product codes and lots
Model Number: 90003S-100; Lot codes: 441113, 441825, 441965, 442099, 442188, 442494, 442612, 443265, 443557, 444054, 444317, 445260, 445310, 445470, 445678, 446402, 446518, 446916, 447447, 447470, 447789.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2061-2019
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2061-2019Class IIITerminatedVoluntary: Firm initiated