Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1544-2021Class I

Alaris Pump Module, Model 8100, serviced/repaired by Infusion Pump Repair with an impacted bezel repair part

Infusion Pump Repair / initiated 2021-03-26 / Open, Classified / root cause: design

Infusion Pump Repair began a recall of Alaris Pump Module, Model 8100, serviced/repaired by Infusion Pump Repair with an impacted bezel repair part 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 Open, Classified, and MDM tags the root cause as design.

Recall record

Recall number
Z-1544-2021
Classification
Class I
Status
Open, Classified
Initiated
Posted
Recalling firm
Infusion Pump Repair
Product
Alaris Pump Module, Model 8100, serviced/repaired by Infusion Pump Repair with an impacted bezel repair part
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 03/26/2021, Voluntary Field Safety Corrective Action notices started being mailed to customers. The firm conducted further communications via email and phone. The firm asked customers with pumps serviced with the affected bezels to return the pump module units to the recalling firm so they could swap out the affected bezels or provide a refund. The firm asked customers to 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. Also, please complete and return the Customer Response Form. Customers can contact the recalling firm at: 855-477-8866 or [email protected]
Quantity in commerce
15
Distribution
California
Product codes and lots
Devices distributed between 01/15/2021 and 03/14/2021. Sale Order #/Serial #: 1599930872/ 12335834, 13617863, 13447266, 13089105, 12333728, 13616451, 13618575, 12729374; 82943/ 4122252, 4122320; 01112101A/ 12638236, 13813590, 12639090, 13744738, 9951014

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1544-2021
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1544-2021Class IOngoingVoluntary: Firm initiated