Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0434-2021Class II

Aptio Automation System with the Aliquoter Module (Inpeco P/N FLX-212) The FlexLab (aka Accelerator a3600 and...

Inpeco S.p.A. / initiated 2020-07-14 / Terminated / root cause: software

Inpeco S.A. began a recall of Aptio Automation System with the Aliquoter Module (Inpeco P/N FLX-212) The FlexLab (aka Accelerator a3600 and Aptio Automation) is a modular system designed to... on . FDA classified it as Class II and gives the reason as "When a Clot Detection Error is generated during the sample aspiration from the Primary Sample Tube the aspirated volume is dispensed into the first empty Secondary Sample Tube. This Secondary Sample Tube is flagged with...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-0434-2021
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Inpeco S.p.A.
Product
Aptio Automation System with the Aliquoter Module (Inpeco P/N FLX-212) The FlexLab (aka Accelerator a3600 and Aptio Automation) is a modular system designed to automate Pre-Analytical and Post-Analytical processing, sample handling in order to automate sample processing in the Laboratory. The systems consolidate multiple Analytical instruments into a unified workstation.
Product code
CEM Electrode, Ion Specific, Potassium
Reason for recall
When a Clot Detection Error is generated during the sample aspiration from the Primary Sample Tube the aspirated volume is dispensed into the first empty Secondary Sample Tube. This Secondary Sample Tube is flagged with error 2132 or 1442 and sent to IOM Priority Output Racks to be manually managed. The current error message associated to error 2132 or 1442 recommends that the operator manages these Secondary Sample Tubes according to Laboratory Practice, but it does not clarify that these Secondary Sample Tubes may be diluted with water from the hydraulic circuit of the Aliquoter Module this may lead to reporting of erroneous results if the diluted sample is used for testing.
Root cause tag
software
FDA root cause
Software design
Action
The firm, inpeco, sent "Urgent: Medical Device Correction" letters dated 7/14/20 to its customers. The letter described the product, problem and actions to be taken. Action to be taken by the user: Be aware that the Secondary Sample Tube flagged with error 2132 or 1442 may be diluted: discard this Secondary Sample Tube or manage it according to your laboratory guidelines. Your service provider will contact you to schedule the upgrade of the software driver and language.ini with the new error message and error recovery displayed if error 2132 or 1442 occurs. Until the service visit please maintain awareness on this notice. Please transfer this notice to whom it might concern. Please complete and return the Field Safety Notice Receipt Confirmation form attached to this letter within 15 days directly to the email address specified in the email communication. Contact reference person: For any clarification you may need, do not hesitate to contact: Eva Balzarotti - Regulatory Affairs Manager E-mail: [email protected] Phone: (+41) 919118 224
Quantity in commerce
104
Distribution
Global Distribution including: USA and countries of: Algeria, Australia, Azerbaijan, Belgium, Brazil, Canada, Chile, China, Colombia, Croatia, Egypt, Finland, France, Germany, Indonesia, Israel, Italy, Libano, Mexico, Netherlands, Philippines, Portugal, Qatar, Saudi Arabia, Singapore, South Africa, Spain, Sweden, Switzerland, Taiwan, United Kingdom, and United Arab Emirates.
Product codes and lots
The impacted modules are the Aliquoter Modules (lnpeco Part Number FLX-212) with the firmware versions listed below or higher: - AQMb_3-3-0.H86 - AQMa_3-1-1-8.H86 and AQMb_3-1-1-8.H86 - xAQMb_1-1-0.elf;  System Serial Numbers:  AP2.0005 AP2.0008 AP2.0010 AP2.0014 AP2.0017 AP2.0018 AP2.0022 AP2.0023 AP2.0026 AP2.0027 AP2.0033 AP2.0036 AP2.0039 AP2.0043 AP2.0045 AP2.0056 AP2.0060 AP2.0065 AP2.0069 AP2.0070 AP2.0071 AP2.0076 AP2.0078 AP2.0081 AP2.0087 AP2.0089 AP2.0102 AP2.0104 AP2.0105 AP2.0110 AP2.0111 AP2.0113 AP2.0120 AP2.0127 AP2.0137 AP2.0139 AP2.0146 AP2.0147 AP2.0149 AP2.0151 AP2.0155 AP2.0165 AP2.0170 AP2.0172 AP2.0184 AP2.0189 AP2.0201 AP2.0202 AP2.0203 AP2.0209 AP2.0211 AP2.0213 AP2.0217 AP2.0223 APT.0009 APT.0014 APT.0058 APT.0065 APT.0093 APT.0091 APT.0125 AP2.0225 AP2.0230 AP2.0232 AP2.0233 AP2.0240 AP2.0242 AP2.0253 AP2.0266 AP2.0265 AP2.0268 AP2.0269 AP2.0238 AP2.0248 AP2.0274 AP2.0283 AP2.0289 AP2.0285 AP2.0295 AP2.0296 AP2.0303 AP2.0308 AP2.0332 AP2.0350 AP2.0353 AP2.0352 AP2.0354 AP2.0346 AP2.0361 AP2.0366 AP2.0388 AP2.0393 AP2.0402 AP2.0403 AP2.0404 AP2.0405 AP2.0389 AP2.0390 AP2.0400 AP2.0401 AP2.0421 AP2.0420 AP2.0427 AP2.0412

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0434-2021
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0432-2021Class IITerminatedVoluntary: Firm initiated
Z-0433-2021Class IITerminatedVoluntary: Firm initiated
Z-0434-2021Class IITerminatedVoluntary: Firm initiated