Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1646-2009

Roche ACCU-CHEK Spirit insulin pump. Part numbers 4540492001, 4759702001 and 4759729001

Disetronic Medical Systems / initiated 2009-04-30 / Terminated / root cause: design

Disetronic Medical Systems, Inc. began a recall of Roche ACCU-CHEK Spirit insulin pump. Part numbers 4540492001, 4759702001 and 4759729001 on . The reason FDA records is "The "up" and "down" buttons, which are used for changing the program in the menu or to administer additional insulin through a bolus delivery, may experience intermittent failure or completely cease to operate". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-1646-2009
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Disetronic Medical Systems
Product
Roche ACCU-CHEK Spirit insulin pump. Part numbers 4540492001, 4759702001 and 4759729001.
Product code
LZG Pump, Infusion, Insulin
Reason for recall
The "up" and "down" buttons, which are used for changing the program in the menu or to administer additional insulin through a bolus delivery, may experience intermittent failure or completely cease to operate.
Root cause tag
design
FDA root cause
Device Design
Action
The firm issued a press release on 4/30/09 and sent letters with attached Urgent Medical Device Recall (Field Corrective Action) notification dated 5/4/09 to distributors, health care providers and users. Disetronic will replace pumps within the affected serial numbers (SN02119552 to SN10006093) that have intermittent or complete loss of function of the up and/or down button promptly upon contact from the customer with a new pump that is not affected by the potential button failure. For pumps within the affected serial numbers (SN02119552 to SN10006093) which are functioning properly, no replacement is available/possible at this time. Disetronic will gradually phase in replacement pumps for the remaining pumps within the affected range, as they become available. Customers are to complete the enclosed Customer Reply Card to acknowledge receipt of the notification. On 5/17/11, after being notified of the recall's ineffectiveness (in that only 40% of the pumps had been replaced), the firm re-issued recall notification letters including the aforementioned information to their consignees.
Quantity in commerce
14,929
Distribution
Worldwide Distribution -- USA and Canada.
Product codes and lots
All units with serial numbers SN02119552 thru SN10006093.