FDA Enforcement Class I Ongoing

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

Recall: Z-1544-2021 · Reported May 19, 2021

Enforcement

Recall Number
Z-1544-2021
Event ID
87657
Classification
Class I
Status
Ongoing
Product Type
Devices
Firm
Infusion Pump Repair
Voluntary / Mandated
Voluntary: Firm initiated
Initial Notification
Letter
Report Date
May 19, 2021
Initiation Date
March 26, 2021
Classification Date
May 10, 2021
Address
18 Technology Dr Ste 133, Irvine, CA, 92618-2311, United States

Description

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

Reason

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.

Code Info

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

Distribution

California

Quantity

15