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U.S. Department of Health and Human Services

Class 2 Device Recall Baxter Healthcare

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  Class 2 Device Recall Baxter Healthcare see related information
Date Initiated by Firm April 17, 2014
Date Posted April 27, 2015
Recall Status1 Terminated 3 on July 21, 2017
Recall Number Z-1536-2015
Recall Event ID 70641
510(K)Number K051253  
Product Classification Pump, infusion, pca - Product Code MEA
Product The Patient Control Module (PCM) is used in conjunction with a Baxter infusor as a single use device for the control of intermittent bolus doses of medication based on patient demand.
Code Information 1) Product Code: 2C1067; Lots and Expiration Dates: Lot 11D001 , Expires 4/1/2014 ; Lot 11D068 , Expires 4/1/2014 ; Lot 11E048 , Expires 5/1/2014 ; Lot 11E084 , Expires 5/1/2014 ; Lot 11F050 , Expires 6/1/2014 ; Lot 11G019 , Expires 7/1/2014 ; Lot 11H019 , Expires 8/1/2014 ; Lot 11H074 , Expires 8/1/2014 ; Lot 11J042 , Expires 9/1/2014 ; Lot 11J078 , Expires 9/1/2014 ; Lot 11M078 , Expires 11/1/2014 ; Lot 11N027 , Expires 12/1/2014 ; Lot 12A020 , Expires 1/1/2015 ; Lot 12A037 , Expires 1/1/2015 ; Lot 12A050 , Expires 1/1/2015 ; Lot 12A095 , Expires 2/1/2015 ; Lot 12B040 , Expires 2/1/2015 ; Lot 12C033 , Expires 3/1/2015 ; Lot 12D016 , Expires 4/1/2015 ; Lot 12D041 , Expires 4/1/2015 ; Lot 12D089 , Expires 4/1/2015 ; Lot 12E004 , Expires 5/1/2015 ; Lot 12F010 , Expires 6/1/2015 ; Lot 12F036 , Expires 6/1/2015 ; Lot 12G032 , Expires 7/1/2015 ; Lot 12G034 , Expires 7/1/2015 ; Lot 12G057 , Expires 7/1/2015 ; Lot 12H012 , Expires 7/1/2015 ; Lot 12H033 , Expires 8/1/2015 ; Lot 12H077 , Expires 8/1/2015 ; Lot 12J047 , Expires 9/1/2015 ; Lot 12K008 , Expires 10/1/2015 ; Lot 12M036 , Expires 11/1/2015 ; Lot 12N031 , Expires 12/1/2015 ; Lot 13A016 , Expires 1/1/2016 ; Lot 13A084 , Expires 1/1/2016 ; Lot 13B037 , Expires 2/1/2016 ; Lot 13C018 , Expires 3/1/2016 ; Lot 13D012 , Expires 4/1/2016 ; Lot 13E009' , Expires 5/1/2016 ; Lot 13E034' , Expires 5/1/2016 ; Lot 13F044 , Expires 6/1/2016 ; Lot 13F058 , Expires 6/1/2016 ; Lot 13G026 , Expires 7/1/2016 ; Lot 13H025 , Expires 8/1/2016 ; Lot 13H081 , Expires 8/1/2016 ; Lot 13J007 , Expires 9/1/2016 ; Lot 13M052 , Expires 11/1/2016 ; Lot 13N008 , Expires 12/1/2016 ; Lot 14A019 , Expires 1/1/2017 ; Lot 14A033 , Expires 1/1/2017 ; Lot 14B015 , Expires 2/1/2017 ;   2) Product Code: 2C1067K; Lots and Expiration Dates: Lot 11E025 , Expires 5/31/2014 ; Lot 11H035 , Expires 8/31/2014 ; Lot 11N025 , Expires 12/31/2014 ; Lot 12D061 , Expires 4/30/2015 ; Lot 12F012 , Expires 6/1/2015 ; Lot 12K024 , Expires 10/31/2015 ; Lot 13A047 , Expires 1/31/2016 ; Lot 13H067 , Expires 8/31/2016 ; Lot 13N025 , Expires 12/31/2016 ; Lot 13N026 , Expires 12/31/2016 ; Lot 13N027 , Expires 12/31/2016 ; Lot 13N045 , Expires 12/31/2016
Recalling Firm/
Manufacturer		 Baxter Healthcare Corp.
1 Baxter Pkwy
Deerfield IL 60015-4625
For Additional Information Contact Center for One Baxter
800-422-9837
Manufacturer Reason
for Recall		 Potential for device malfunction resulting in flow when the device should not be flowing
FDA Determined
Cause 2		 Process control
Action Baxter Healthcare sent an Urgent Product Recall letter dated April 17, 2014, to the sole US consignee. The letter included instructions for the consignee to: 1) locate and remove all affected product; 2) contact Baxter's Center for Service to arrange for the return and credit; and 3) to complete and return the Customer Reply Form included with the recall notification. Questions about the recall can be answered by calling The Center for One Baxter at 800-422-9837.
Quantity in Commerce 7,596 patient control modules
Distribution Worldwide Distribution - US Distribution to the state of FL., and to the countries of : Belgium, Denmark, Germany, Italy, Japan, Norway, Poland, South Korea, Spain, Sweden and United Arab Emirates.
Total Product Life Cycle TPLC Device Report
1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database 510(K)s with Product Code = MEA and Original Applicant = BAXTER HEALTHCARE CORP.
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