Medical Device
Manufacturing
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Z-1282-2024Class II

LVP software of the Ivenix Infusion System (IIS), LVP-SW-0004

Fresenius Kabi USA, LLC / initiated 2022-09-16 / Completed / root cause: software

Fresenius Kabi USA, LLC began a recall of LVP software of the Ivenix Infusion System (IIS), LVP-SW-0004 on . FDA classified it as Class II and gives the reason as "Retroactively reported correction from 2022: A software defect may cause an incorrect (Fail-Stop) Alarm when an administration set is loaded with an upstream occlusion present, resulting in a non-recoverable (Fail-Stop)...". As of , the recall status on record is Completed, and MDM tags the root cause as software.

Recall record

Recall number
Z-1282-2024
Classification
Class II
Status
Completed
Initiated
Posted
Recalling firm
Fresenius Kabi USA, LLC
Product
LVP software of the Ivenix Infusion System (IIS), LVP-SW-0004
Product code
FRN Pump, Infusion
Reason for recall
Retroactively reported correction from 2022: A software defect may cause an incorrect (Fail-Stop) Alarm when an administration set is loaded with an upstream occlusion present, resulting in a non-recoverable (Fail-Stop) Pump Problem alarm. This may lead to delay of therapy, and patient may experience from no to minimal to serious harm. This issue was resolved in all fielded product in software version 5.2.1, which was installed in September 2022.
Root cause tag
software
FDA root cause
Software design
Action
The issue was resolved through an update of the software to Version 5.2.1, which was installed at customer sites in September 2022. The firm did not issue a customer letter at the time. According to the firm, this issue has been resolved in all fielded product. There have been two subsequent software upgrades since Version 5.2.1 was released. Consignees are now on v 5.8.0.
Quantity in commerce
3
Distribution
US Nationwide distribution in the states of WI and NJ.
Product codes and lots
UDI-DI 00811505030122 Software versions 5.0.1 and earlier.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1282-2024
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1282-2024Class IICompletedVoluntary: Firm initiated