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| Recall number | Class | Status | Voluntary or mandated | Report date | Classified |
|---|---|---|---|---|---|
| Z-2061-2019 | Class III | Terminated | Voluntary: Firm initiated |
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