FDA Recall Open, Classified

Aftermarket Alaris Infusion Pump Module Model 8100 Front Bezel, installed by Pacific Medical Group (DBA Avante Health Solutions)

Recall: Z-1375-2021 · Initiated March 24, 2021

Recall

Recall Number
Z-1375-2021
Event Number
87483
Firm
Pacific Medical Group Inc.
FEI Number
3007409280
Product Code
FRN
Status
Open, Classified
Root Cause
Component design/selection
Initiated
March 24, 2021
Address
212 Avenida, Fabricante San Clemente, CA, 92672-7538

Description

Aftermarket Alaris Infusion Pump Module Model 8100 Front Bezel, installed by Pacific Medical Group (DBA Avante Health Solutions)

Reason

Aftermarket front bezel components were installed during service/repair, not by the original manufacturer, within infusion pump modules. Over time, the posts on the front bezel component may crack or separate. Separation of one or more bezel posts could lead to free flow, over infusion, under infusion, or interruption of infusion.

Action

On 03/24/2021, Medical Device Recall Notifications were emailed to customers. Customers were asked to take the following actions: If you have affected product, remove these devices from clinical use and immediately quarantine them until the impacted parts can be returned to the recalling firm; contact Customer Service 800-449-5328, [email protected]. The recall part number is RCL2021-823-01. Once returned, the affected device will be evaluated and inspected and where the component under recall is identified, it will be replaced by our organization with the OEM component and then returned. If your facility has used the component under recall in repairs of the top assembly immediately stop use and quarantine the affected product until the impacted parts are replaced. If you have resold/distributed the affected product, please forward this notice to your customers. Complete and submit the recall acknowledgment form to [email protected]

Distribution

Distribution US nationwide.

Quantity

2452