Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0002-2023Class I

Ivenix Infusion System (IIS), LVP Software; LVP-SW-0004 version 5.2.0

Fresenius Kabi USA, LLC / initiated 2022-09-08 / Terminated / root cause: software

Fresenius Kabi USA, LLC began a recall of Ivenix Infusion System (IIS), LVP Software; LVP-SW-0004 version 5.2.0 on . FDA classified it as Class I and gives the reason as "The display screen may become frozen and unresponsive to user input, triggering an alarm that is evidenced by a buzzer sound and flashing red LEDs as a secondary notification. However, as the screen goes blank it does...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-0002-2023
Classification
Class I
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Fresenius Kabi USA, LLC
Product
Ivenix Infusion System (IIS), LVP Software; LVP-SW-0004 version 5.2.0
Product code
PHC Infusion Safety Management Software
Reason for recall
The display screen may become frozen and unresponsive to user input, triggering an alarm that is evidenced by a buzzer sound and flashing red LEDs as a secondary notification. However, as the screen goes blank it does not indicate an alarm condition or respond. This issue leads to temporary cessation of flow of a medication or fluid, requiring immediate intervention by the clinician.
Root cause tag
software
FDA root cause
Software design
Action
On September 8, 2022, the company notified affected customers via phone call and emailed letter. Customers were instructed to do the following: 1. If a high priority Pump Problem alarm occurs, the LVP should be powered down by holding the power button for 10 seconds then releasing the power button so that the screen goes dark, then pressing the power button again to re-start the pump. Alternatively, if you have another LVP available, you may use it to resume infusion. 2. Inform potential users of the product within your organization of this notification. If your facility further distributes or transfers products amongst satellite sites or other locations, please disseminate this information accordingly. Fresenius Kabi has updated the software to rectify the condition. The updated software is currently available. Please schedule a service call at your earliest convenience to have it installed. Customer support: [email protected]; 1-978-775-8100
Quantity in commerce
4 instances
Distribution
Domestic distribution to NJ and WI.
Product codes and lots
UDI-DI: 00811505030122 version 5.2.0

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0002-2023
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0002-2023Class ITerminatedVoluntary: Firm initiated