Device recalls

BD Alaris Pump Module REF 8100 The BD Alaris System with Guardrails Suite MX is a modular infusion pump and monitoring system for the conti…

CareFusion 303, Inc. · Due to User Manual/Direction for Use incorrectly instructing user to leave the safety clamp in the open position when reloading an infusion set. This issue pot…

Open, ClassifiedUnder Investigation by firmZ-1231-2025
Open FDA's page for this record
Cfres ID
211911
Product res number
Z-1231-2025
Event date initiated
2025-01-23
Event date posted
2025-02-24
Recall status
Open, Classified
Res event number
96069
Product code
FRN
Code info
Catalog Number: 8100 UDI-DI codes: 10885403810046 10885403517723 Software Version: 12.1.2 Serial/Lot Numbers: Pending
Firm FEI number
2016493
Recalling firm
CareFusion 303, Inc.
Address 1
10020 Pacific Mesa Blvd
City
San Diego
State
CA
Postal code
92121-4386
Additional info contact
Connor L. Bates 619-614-3771
Root cause description
Under Investigation by firm
Product quantity
242,098 systems
Product description

BD Alaris Pump Module REF 8100 The BD Alaris System with Guardrails Suite MX is a modular infusion pump and monitoring system for the continuous or intermittent administration of fluids to adult, pediatric, and neonatal patients through clinically accepted routes of administration

Reason for recall

Due to User Manual/Direction for Use incorrectly instructing user to leave the safety clamp in the open position when reloading an infusion set. This issue potentially could result in an accidental over infusion if the roller clamp is left open.

Action

On 01/23/2025, the firm sent via FedEx, 2-day mail and email an "URGENT MEDICAL DEVICE LABELING CORRECTION" Letter to customers informing them that Through an internal review, BD has identified that in the BD Alaris" System User Manual v 12.3.1 (p/n #P00000455), 12.3.2 (p/n# P00000827) and 12.4 (p/n# P00000828), there is an incorrect note on the Pump Module Set Loading instructions. The manuals incorrectly instruct users to leave the safety clamp in the open position when reloading an infusion set. The correct procedure is to leave the safety clamp in the closed position. Following the incorrect note could potentially disable a safety feature that could result in an accidental over-infusion if the roller clamp is left open. Customers are instructed to: 1. Post the Customer Notification on or near the affected systems as a reminder of the incorrect labeling issue until the Manual/Directions for Use (DFU) have been corrected. 2. Complete the attached Customer Response Form and return to the BD contact noted on the form within 14 days, so that BD may acknowledge your receipt of this notification per FDA requirements and prioritize remediation scheduling. Actions BD is taking: 1. BD is in the process of updating the impacted user manuals. 2. BD will send customers follow-up notifications once the update of user manuals is completed. BD expects an updated user manual to be available by April 2025. For Questions or assistance: Contact - North American Regional Complaint Center for Product Complaints and Technical Questions at: Phone: 1-844-8BD-LIFE (1-844-823-5433) Say Product Complaints when prompted. Mon Fri 8:00am and 5:00pm CT or Email: productcomplaints@bd.com Contact Post Market Quality for Recall Questions at: Email : BDRC39@bd.com Fax No.: 312-949-0576

Distribution pattern

U.S.: AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, SC, SD, TN, TX, UT, VA, WA, WI, WV, WY and Guantanamo Bay, Cuba O.U.S.: Canada

K numbers
K211218
Harmonized identifiers (openFDA)
Device name
Pump, Infusion
Medical specialty description
General Hospital
Regulation number
880.5725
Device class
2
K number
K052219, K922074, K983321, K032642, K101194, K091855, K880623, K850488, K931549, K791720, K944721, K801704, K003543, K864997, K011096, K844719, K890862, K915407, K822454, K891583, K961862, K042432, K910007, K812035, K921050, K896593, K090736, K871084, K932895, K990518, K800569, K124053, K883902, K043600, K994374, K865058, K214045, K823204, K895709, K913661 +809 more
Registration number
1526611, 1055927, 2320968, 2027804, 3018094310, 3008058400, 3013298431, 9617594, 3003927385, 3009456923, 3005382983, 3011688490, 2029015, 3012302888, 2244478, 9617787, 1061124, 1314417, 1054713, 3004548776, 3013764800, 3010564249, 1320894, 2024022, 2523676, 9610825, 9681819, 1921846, 3007738736, 9680425, 3006534321, 9680741, 3020777588, 1018470, 3013722099, 1220973, 3000240707, 3004112621, 3009754410, 3016798778 +108 more
FEI number
1526611, 3018094310, 3008058400, 3013298431, 3003927385, 1000113359, 3003282181, 1000160458, 3009456923, 3005382983, 3011688490, 3012302888, 1314417, 3004548776, 3000957797, 3000206435, 3001236905, 3013764800, 3010564249, 3002826093, 3003166194, 2648209, 1000138054, 2024022, 3003076831, 2523676, 1921846, 3000147578, 3007738736, 3006534321, 3020777588, 3002879021, 1018470, 3003767881, 3013722099, 3002807099, 3003513491, 1220973, 3000240707, 3004112621 +108 more
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Data from openFDA, FDA's public API. FDA says not to rely on it to make decisions about medical care and to treat every result as unvalidated; confirm against FDA's own record and the product labeling. Not medical or legal advice.