Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1181-2008

Hospira LifeCare PCA Label Utility, Version 1.0 CD. The installation/user guide is entitled "LifeCare PCA...

Abbott Medical / initiated 2008-01-03 / Terminated / root cause: software

Hospira Inc. began a recall of Hospira LifeCare PCA Label Utility, Version 1.0 CD. The installation/user guide is entitled "LifeCare PCA Barcode Label Utility Program." This software program... on . The reason FDA records is "Incorrect dosage labels created: Customers have experienced independent changes in drug concentration (mg/mL to mcg/mL and vice versa) and expiration dates, and the addition of trailing zeros to the barcodes". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1181-2008
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Abbott Medical
Product
Hospira LifeCare PCA Label Utility, Version 1.0 CD. The installation/user guide is entitled "LifeCare PCA Barcode Label Utility Program." This software program is designed to allow entry of each drug concentration into a formulation library on a pharmacy computer for standardized printing of barcode labels for compounded drug product vials.
Product code
MEA Pump, Infusion, Pca
Reason for recall
Incorrect dosage labels created: Customers have experienced independent changes in drug concentration (mg/mL to mcg/mL and vice versa) and expiration dates, and the addition of trailing zeros to the barcodes.
Root cause tag
software
FDA root cause
Software design
Action
Hospira sent letters dated 1/3/08 to the immediate recipients of the product via FedEx overnight letter on the same date. The letters informed the accounts of the reports of independent changes in drug concentration while editing a saved formulation using the Hospira LifeCare PCA Label Utility Software CD that was provided to some customers in a Hospira MedNet Drug Library Creation Team Introductory Kit-LifeCare PCA kit. The accounts were requested to remove the utility from any PC in their facility on which it is currently installed, destroy the CD and sign and return the enclosed removal verification form verifying that they have removed the software from their system. The letter listed commercially available software packages that the account could validate and implement in their facility. Any questions concerning the utility software withdrawal were directed to Hospira at 1-800-241-4002, option 4, then option 1.
Quantity in commerce
127 CDs
Distribution
Nationwide Distribution and Canada
Product codes and lots
Version 1.0, all CDs