Class 2 Device Recall LifeCare PCA infusion System with Hospira MedNet

Date Initiated by Firm	March 08, 2013
Create Date	September 22, 2016
Recall Status¹	Terminated ³ on November 07, 2016
Recall Number	Z-2873-2016
Recall Event ID	64230
510(K)Number	K042800
Product Classification	Pump, infusion, pca - Product Code MEA
Product	LifeCare PCA Infusion System with Hospira MedNet Software, PCA Serial List Number 20709 Allows for clinician administration or self-administration of analgesic medications.
Code Information	Serial Number 15553367, 16224548, 16224939, 16225091, 16225646, 16225851, 16226006, 16226095, 16226117, 16226159, 16226360, 16226383, 16226435, 16226460, 16226680, 16226707, 16226726, 16226730, 16226756, 16226763, 16226891, 16226895, 16226898, 16226910, 16226917, 16226918, 16226919, 16226920, 16226921, 16226922, 16226923, 16226924, 16226925, 16226926, 16226927, 16226928, 16226929, 16226930, 16226931, 16226932, 16226933, 16226934, 16226935, 16226936, 16226937, 16226938, 16226939, 16226940, 16226941, 16226943, 16226944, 16226945, 16226946, 16226947, 16226948, 16226949, 16226950, 16226951, 16226952, 16226953, 16226954, 16226955, 16226956, 16226957, 16226958, 16226959, 16226960, 16226961, 16226962, 16226963, 16226964, 16226965, 16226966, 16226967, 16226968, 16226969, 16226970, 16226971, 16226972, 16226973, 16226974, 16226975, 16226976, 16226977, 16226978, 16226979, 16226980, 16226981, 16226982, 16226983, 16226984, 16226985, 16226986, 16226987, 16226988, 16226989, 16226990, 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Recalling Firm/ Manufacturer	Hospira Inc. 275 N Field Dr Lake Forest IL 60045-2579
For Additional Information Contact	Chris Eustace 224-212-2000
Manufacturer Reason for Recall	Screw rotation error occurring when the pump detects a mismatch between the number of steps given to the motor driving delivery and the number of steps the motor actually took. When this malfunction occurs, the pump will alarm and infusion stops.
FDA Determined Cause ²	Nonconforming Material/Component
Action	Hospira will contract with Stericycle, Inc. in Indianapolis, IN to send letter and a reply form to Hospira, Inc. Receipt of the letters will be confirmed by UPS tracking. Customers will be requested to return a reply form to Stericycle indicating the number of pumps on hand and that they have received the letter and notified their users. In addition, letters will be sent by email to ECRI, NRAC, Noblis and ISMP for notification of their members and posting on their websites. The letter will also be posted to the Hospira website. Letters will be sent to Hospira customers of record who purchased the devices directly from Hospira. Customers will be directed to notify their consignees if they further distributed the product and confirm they have done so. Telephone attempts will be made to contact customers that do not respond in order to confirm receipt of the letter. Final effectiveness will be done as the devices are upgraded with new plastic motors.
Quantity in Commerce	8,794
Distribution	United States (Nationwide) Distribution including Puerto Rico and American Virgin Islands.
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 = HOSPIRA, INC.

Class 2 Device Recall LifeCare PCA infusion System with Hospira MedNet

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