Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1332-2021Class I

Alaris Infusion Pump 8100 Bezel (plastic piece only), Part: TIPA-8100-4410

Tenacore LLC / initiated 2021-02-25 / Terminated / root cause: design

Tenacore LLC began a recall of Alaris Infusion Pump 8100 Bezel (plastic piece only), Part: TIPA-8100-4410 on . FDA classified it as Class I and gives the reason as "Bezel repair parts used, not by the original manufacturer, to service and repair infusion pump modules, may over time experience cracking or separation of the posts from the bezel. The separation of one or more bezel...". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-1332-2021
Classification
Class I
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Tenacore LLC
Product
Alaris Infusion Pump 8100 Bezel (plastic piece only), Part: TIPA-8100-4410
Product code
FRN Pump, Infusion
Reason for recall
Bezel repair parts used, not by the original manufacturer, to service and repair infusion pump modules, may over time experience cracking or separation of the posts from the bezel. The separation of one or more bezel repair part posts may result in free flow, over infusion, under infusion or interruption of infusion.
Root cause tag
design
FDA root cause
Component design/selection
Action
On 02/25/2021, Field Safety Corrective Action notifications were mailed to customers; customers were also notified via phone. The recalling firm provided the following services to customers: serviced infusion pumps, sold infusion pumps, and sold bezel repair parts. Customers were asked to do the following: 1. Review the serialized list of potentially impacted pumps and remove these devices from clinical use and immediately quarantine them until they can be inspected, and impacted parts are replaced, if necessary. Part customers were told to quarantine affected parts. 2. Inspect the potentially affected devices to determine if the impacted bezel repair part is installed. Refer to inspection instructions and a) identify the impacted Alaris 8100 Infusion Pump Module by serial number; b) Look from the top down for the ejector pin marks, c) If NO ejector pin marks are identified, this module requires bezel. Customers who were sold pumps can identify affected pumps through serial number alone. 3. Dealers and Distributors only: If potentially impacted pumps were sold, immediately identify, inspect and recall, if necessary, the potentially affected pumps. An electronic copy of a proposed field safety corrective action notice will be provided that can to be used for the facilities that may be using the potentially affected pumps. 4. Contact the recalling firm to schedule bezel repair part replacement. The impacted bezel repair part must be replaced before the pump can be returned to service. 5. Please immediately share this field safety corrective action notification with all necessary parties within your organization to ensure that they are also aware of this action. Notify end user customers. 6. Complete and return the customer response form. Contact Quality Assurance at 714-371-9919 or [email protected] to schedule replacement of the impacted part.
Quantity in commerce
1494
Distribution
US distribution to states of: WA, AZ, NY, TX, LA, CA, NV, ME, MN, DE, NC, FL, MO, KY, TN, and PA
Product codes and lots
Parts distributed between July 10, 2020 and January 22, 2021. Time stamp at bezel rear side shows 5 or 6 SO Numbers: 271111, 263873, 264442, 264890, 268606, 269930, 270760, 270936, 271211, 272860, 267603, 268936, 269258, 269291, 272496, 272225, 271408, 267392

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1332-2021
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1331-2021Class ITerminatedVoluntary: Firm initiated
Z-1332-2021Class ITerminatedVoluntary: Firm initiated