Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1442-2020Class I

BodyGuard Microset REF A120-003XYVA, Sterile EO, Tubing: 150 in. (380 cm), Prime Vol: approx. 8ml

CME America, LLC / initiated 2019-09-16 / Terminated / root cause: manufacturing process

CME America, LLC began a recall of BodyGuard Microset REF A120-003XYVA, Sterile EO, Tubing: 150 in. (380 cm), Prime Vol: approx. 8ml Product Usage: The BodyGuard Infusion Pump System is designed... on . FDA classified it as Class I and gives the reason as "When using a specific tubing set with infusion pump system, may result in under deliver of fluids". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-1442-2020
Classification
Class I
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
CME America, LLC
Product
BodyGuard Microset REF A120-003XYVA, Sterile EO, Tubing: 150 in. (380 cm), Prime Vol: approx. 8ml Product Usage: The BodyGuard Infusion Pump System is designed to transfer medication and fluids intravenously.
Product code
FRN Pump, Infusion
Reason for recall
When using a specific tubing set with infusion pump system, may result in under deliver of fluids.
Root cause tag
manufacturing process
FDA root cause
Nonconforming Material/Component
Action
Updated 10/7/2019: On 09/16/2019, the firm sent an "URGENT MEDICAL DEVICE RECALL" notification to customers via various methods (i.e., email, and written letter delivered by FedEx) along with a response form for customer acknowledgement. The notification informed customers, that all lots of its Microset tubing when used with their infusion pump system may under deliver fluids. The product was distributed beginning in October 2017. The firm is instructing customers to: 1. Immediately review their inventory for Catalog #A120-003XYVA and to discard all remaining inventory of the tube sets per their facility's guidelines 2. Share the Urgent Medical Device Recall notice with all users of the product with their facility to ensure awareness of this action. 3. Complete the attached Customer Response Form and return to the contact noted on the firm regardless of whether they have any affected material or not so that the Recalling Firm may acknowledge their receipt of the notification. Fax Number: 312-949-0333 or email to [email protected] are to indicate on the response form the quantity of the tube sets remaining in inventory and confirm this inventory has been discarded. 4. Report any adverse health consequences experienced with the use of this product to the Recalling Firm. 5. Contact the Recalling Firm at 877-263-0111, Monday thru Friday from 9am to 5pm Mountain Time for a list of alternate sets that are available. Customer/Technical Support - 303-936-4545 or 877-263-0111 toll free.
Quantity in commerce
69400 infusion sets
Distribution
US: CA, OH, PA, and TX OUS: Canada
Product codes and lots
Catalog Number: A120-003XYVA UDI: 00818666020146  Lot Numbers: 10636 10653 12117 12836 13156 13279 13656 13978 14057 14188 14545 14790 14966 15073 19486 19490 19492 19834 16173 14966 15073 15277 15434 15802

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1442-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1442-2020Class ITerminatedVoluntary: Firm initiated