| Class 1 Device Recall Infusomat Administration Sets | |
Date Initiated by Firm | November 01, 2023 |
Date Posted | December 01, 2023 |
Recall Status1 |
Open3, Classified |
Recall Number | Z-0355-2024 |
Recall Event ID |
93232 |
510(K)Number | K142036 |
Product Classification |
Set, administration, intravascular - Product Code FPA
|
Product | Infusomat Administration Sets as listed below:
362031
Infusomat Space Pump Set with Caresite Injection Site;
362032
15 drops/mL, priming volume: 22mL, length: 119in, SafeLine;
362033
UNIV. 15 DR PUMP SET, 1.2 FIL, 2 CRSITE;
362034
Priming volume: 19mL, length: 120in, SafeLine;
362035
INFUSOMAT SPACE PUMP IV SET;
362043
Priming volume: 39mL, length: 120in, SafeLine;
362050
15 drops/mL, priming volume: 26mL, length: 124in, SafeLine;
362420
SPACE PUMP SET 15 DROP W/2 SAFEDAY;
362432
15 drops/mL, priming volume: 21mL, length: 118in, ULTRASITE;
362911
Priming volume: 14mL, length: 84in, CARESITE, Spin-Lock;
363010
Priming volume: 21mL, length: 121in, SafeLine;
363019
Priming volume: 40mL, length: 123in, SafeLine;
363030
15 drops/mL, priming volume: 22mL, length: 119in, SafeLine;
363032
20 drops/mL, priming volume: 20mL, length: 119in, SafeLine;
363230
15 drops/mL, priming volume: 22mL, length: 123in, ULTRASITE;
363410
15 drops/mL, priming volume: 23mL, length: 119in, CARESITE;
363419
Priming volume: 41mL, length: 120in, CARESITE;
363420
15 drops/mL, priming volume: 24mL, length: 120in, CARESITE;
363421
15 drops/mL, priming volume: 22mL, length: 120in, CARESITE;
363422
Priming volume: 21mL, length: 130in, CARESITE;
363423
60 drops/mL, priming volume: 21mL, length: 118in, CARESITE;
363424
UNIV. 15 DR PUMP SET, 1.2FIL, 2CRSTE ASV;
363430
15 drops/mL, priming volume: 23mL, length: 123in, CARESITE;
363433
UNIV. 15 DROP PUMP SET, 3 CARESITE, ASV;
363901
60 drops/mL, priming volume: 11mL, length: 129in;
363902
Priming volume: 25mL, length: 130in;
363904
UNIV. 15 DROP PUMP SET, ASV;
470119
15 drops/mL, priming volume: 23mL, length: 119in, CARESITE;
480254
SPACE PUMP IV SET 15D, 110 IN.;
480255
SPACE PUMP IV SET, 127 IN;
480257
60 DROP NITRO SPACE SET, 88 IN.;
480258
15 DROP PUMP SET 1 SAFEDAY 0.2 FILTER;
480263
SPACE PUMP IV SET 15D, 90 IN.;
480264
SPACE PUMP IV SET, 15 DRPS/ML, 95 IN.;
490037
Priming volume: 25mL, length: 136in;
490038
60 drops/mL, priming volume: 11mL, length: 129in;
490100
15 drops/mL, priming volume: 22mL, length: 120in, CARESITE;
490101
Priming volume: 19mL, length: 120in, CARESITE;
490102
15 drops/mL, priming volume: 22mL, length: 120in, CARESITE;
490103
15 drops/mL, priming volume: 24mL, length: 120in, CARESITE;
490104
60 drops/mL, priming volume: 21mL, length: 115in, CARESITE;
490105
Priming volume: 39mL, length: 120in, CARESITE |
Code Information |
Material No. 362031
UDI-DI 04046964837807
Lots:
0061809812
0061822006
0061826547
0061842006
0061844316
0061850548
0061863075
00VL881443
00VL881444
00VL881445
Material No. 362032
UDI-DI 04046964182556
Lots:
0061825440
0061826518
0061841107
0061859898
0061891206
00VL881446
00VL881447
00VL881448
Material No.362033
UDI-DI 04046964837821
Lots:
0061825491
0061832933
0061841016
0061844319
0061852088
0061859899
0061861528
0061880107
0061888294
0061891613
0061900150
Material No. 362034
UDI-DI 04046964182570
Lots:
0061809813
0061875347
0061880110
0061895436
00VL845496
Material No. 362035
UDI-DI 04046964699047
Lots:
0061815242
0061820766
0061821992
0061821993
0061826531
0061829597
0061831769
0061832958
0061844310
0061847255
0061853102
0061855700
0061863625
0061888327
0061894407
Material No. 362043
UDI-DI 04046964182631
Lots:
0061863076
362050
04046964182655
0061822091
0061840508
0061852666
0061861244
00VL881402
00VL881403
00VL881404
Material No. 362420
UDI-DI 04046955592715
Lots:
0061822004
0061823035
0061823071
0061826688
0061831761
0061837001
0061837884
0061837891
0061842996
0061843033
0061847222
0061849999
0061855839
0061855840
0061859988
0061859990
0061859991
0061874588
0061876229
0061880059
0061883209
0061885064
0061888323
0061891571
0061892316
0061895535
0061895682
0061898768
0061898950
00VL880878
00VL882007
00VL882008
Material No. 362432
UDI-DI 04046964182679
Lots
0061806560
0061864982
Material No. 362911
UDI-DI 04046964837845
Lots
0061829592
0061847275
0061852087
0061855702
0061859902
0061868581
0061876580
0061878508
0061880060
00VL866594
00VL866595
00VL866596
Material No. 363010
UDI-DI 04046964294174
Lots
0061815475
0061822081
0061841080
0061852668
0061863624
0061875604
Material No. 363019
UDI-DI 04046964294198
Lots
0061818130
0061832938
0061865704
Material No. 363030
UDI-DI 04046964294259
Lots
0061815476
0061838037
0061851854
0061864873
0061892484
0061895683
00VL817533
00VL817534
Material No. 363032
UDI-DI 04046964294297
Lots
0061815254
0061817792
0061836642
0061841018
0061847266
0061859903
0061882707
0061895431
0061900141
00VL865134
00VL865135
00VL865136
Material No. 363230
UDI-DI 04046964294495
Lots
0061823073
0061826527
0061829582
0061837002
0061844306
0061855699
0061862022
0061875596
0061876683
0061882709
0061885068
0061894394
0061901576
00VL867493
00VL867494
00VL867495
Material No. 363410
UDI-DI 04046964294556
Lots
0061816472
0061821960
0061829599
0061841019
0061846809
0061853103
0061859904
0061872871
0061879899
0061895432
0061901579
Material No. 363419
UDI-DI 04046964294570
Lots
0061815247
0061819597
0061822034
0061823076
0061826505
0061837003
0061852675
0061854000
0061854058
0061859905
0061862023
0061863609
0061865591
0061869283
0061875291
0061877613
0061877614
0061891634
00VL831041
00VL831042
00VL831043
00VL890369
00VL890370
00VL890371
Material No. 363420
UDI-DI 04046964294594
Lots
0061818061
0061823079
0061829586
0061837004
0061844308
0061855701
0061861240
0061868575
0061874532
0061885035
Material No. 363421
UDI-DI 04046964294617
Lots
0061811559
0061814341
0061815238
0061817977
0061817988
0061819668
0061821991
0061823068
0061825476
0061825478
0061826194
0061826501
0061826502
0061826683
0061827330
0061828023
0061829580
0061830091
0061831739
0061832096
0061833564
0061837005
0061837006
0061837007
0061837892
0061841117
0061842994
0061843029
0061844303
0061845291
0061847169
0061847170
0061850000
0061850532
0061850540
0061851939
0061853106
0061855697
0061855830
0061855831
0061855832
0061855833
0061858279
0061858284
0061859442
0061859663
0061859950
0061859952
0061860125
0061861840
0061862010
0061864612
0061870697
0061870720
0061870721
0061870750
0061870848
0061870849
0061875466
0061876678
0061879942
0061879963
0061880063
0061880088
0061880101
0061883210
0061887529
0061888288
0061888326
0061891632
0061891645
0061892039
0061894272
0061894273
0061894274
0061895684
0061896879
0061901583
0061901584
Material No. 363422
UDI-DI 04046964294631
Lots
0061815266
0061859730
0061882161
0061891576
00VL817535
00VL866368
Material No. 363423
UDI-DI 04046964294655
Lots
0061815478
0061832935
0061837009
0061844317
0061863077
0061873206
0061885065
0061891577
Material No. 363424
UDI-DI 04046964837906
Lots
0061815480
0061822066
0061826553
0061833595
0061841020
0061846766
0061852672
0061861524
0061870722
0061876834
0061890407
0061901588
Material No. 363430
UDI-DI 04046964294679
Lots
0061811558
0061815235
0061815482
0061816435
0061816796
0061817978
0061817993
0061817994
0061818676
0061821595
0061821987
0061821988
0061823069
0061826499
0061826686
0061827329
0061829577
0061831759
0061832974
0061833566
0061837010
0061837011
0061837012
0061837303
0061837893
0061838870
0061841083
0061841110
0061842992
0061843027
0061844304
0061845289
0061847042
0061847171
0061847172
0061847173
0061848289
0061848662
0061849508
0061850001
0061850330
0061850533
0061850547
0061850626
0061853107
0061853143
0061855835
0061855836
0061855837
0061855838
0061856842
0061856843
0061858164
0061858283
0061859228
0061859444
0061859912
0061859944
0061859946
0061859947
0061860121
0061860122
0061860863
0061861839
0061862002
0061862498
0061865302
0061866000
0061869278
0061869381
0061869386
0061870725
0061870726
0061870850
0061870852
0061871267
0061876676
0061876679
0061877002
0061877512
0061879881
0061879882
0061879964
0061880064
0061880090
0061880241
0061880243
0061883211
0061883582
0061885062
0061887080
0061888453
0061891617
0061894396
0061894402
0061895663
0061895831
0061895832
0061897187
0061899940
0061901589
0061901590
0061902095
00VL885536
00VL885537
00VL885538
Material No. 363433
UDI-DI 04046964837920
Lots
0061815484
0061822042
0061826551
0061841021
0061852667
0061862536
0061891578
0061895410
0061898734
00VL851146
00VL851147
00VL851148
Material No. 363901
UDI-DI 04046964294716
Lots
0061818804
0061861261
0061863628
0061891579
0061898773
Material No. 363902
UDI-DI 04046964294730
Lots
0061814358
0061820767
0061822011
0061829591
0061843401
0061855824
0061866016
0061879922
0061888263
00VL862530
00VL862531
00VL862532
Material No. 363904
UDI-DI 04046964699061
Lots
0061819595
0061824861
0061835511
0061837015
0061843000
0061847230
0061855825
0061862025
0061866010
0061873207
0061876025
0061876420
0061891570
0061891637
0061895443
0061898775
00VL865910
00VL865911
00VL865912
Material No. 470119
UDI-DI 04046964298714
Lots
0061823046
0061833291
0061833546
0061844318
0061883002
0061888319
00VL855548
00VL855549
00VL855550
Material No. 480254
UDI-DI 04046955324798
Lots
0061812951
0061812953
0061820106
0061820768
0061823072
0061825485
0061827900
0061830164
0061838275
0061855847
0061863078
0061863645
0061867150
0061876581
0061879097
0061879921
0061881414
0061885059
0061889916
0061900325
0061901361
00VL844669
00VL852455
00VL852456
00VL852457
Material No. 480255
UDI-DI 04046955324804
Lot 0061897302
Material No. 480257
UDI-DI 04046955324828
Lots
0061820769
0061826079
0061826528
0061843406
0061865427
0061873209
0061887372
0061888287
00VL836623
00VL836624
00VL836625
00VL857207
00VL857208
00VL857209
Material No. 480258
UDI-DI 04046955324835
Lots
0061815489
0061824599
0061829587
0061850550
0061861239
00VL847051
00VL847052
00VL847053
Material No. 480263
UDI-DI 04046955693931
Lots
0061874472
0061888448
0061894265
0061900139
Material No. 480264
UDI-DI 04046955778744
Lots
0061871461
0061872801
0061894264
0061898761
Material No. 490037
UDI-DI 04046964185922
Lots
0061825492
0061832970
0061837017
0061843413
0061847236
0061852663
0061858285
0061862021
0061870727
0061874590
0061877625
0061885070
0061898771
00VL835478
00VL835479
00VL835480
Material No. 490038
UDI-DI 04046964185946
Lots
0061826523
0061836898
0061843414
0061850530
0061895022
0061895023
0061895024
0061900137
00VL891503
Material No. 490100
UDI-DI 04046964186080
Lots
0061814343
0061814994
0061815236
0061815493
0061816436
0061816798
0061816862
0061817574
0061817575
0061817979
0061817980
0061817996
0061817997
0061817998
0061818438
0061818439
0061818455
0061819064
0061819551
0061819699
0061819700
0061820703
0061821596
0061821597
0061821598
0061821599
0061821983
0061821984
0061821985
0061822585
0061822586
0061822891
0061822892
0061822894
0061823030
0061823067
0061824460
0061824461
0061824462
0061824463
0061824594
0061825229
0061825230
0061825379
0061825482
0061825757
0061826026
0061826191
0061826192
0061826193
0061826496
0061826497
0061826682
0061827324
0061827326
0061827353
0061828019
0061828020
0061829576
0061830088
0061830089
0061830090
0061830883
0061831121
0061831122
0061831677
0061831678
0061831679
0061831732
0061831733
0061831850
0061832098
0061832099
0061832100
0061832101
0061832978
0061833561
0061833562
0061833969
0061834646
0061834647
0061834648
0061835418
0061835419
0061835420
0061835421
0061836361
0061836362
0061836363
0061836364
0061836627
0061837019
0061837020
0061837021
0061837022
0061837023
0061837024
0061837025
0061837026
0061837027
0061837298
0061837299
0061837300
0061837301
0061837894
0061838869
0061841116
0061842866
0061842867
0061842991
0061843026
0061844301
0061845035
0061845290
0061847040
0061847041
0061847174
0061847175
0061847176
0061848287
0061848661
0061849512
0061850002
0061850323
0061850324
0061850534
0061850538
0061850622
0061850667
0061851933
0061852394
0061852500
0061853139
0061853140
0061853490
0061853491
0061853900
0061854180
0061854483
0061854484
0061854485
0061854486
0061855757
0061855826
0061855827
0061855828
0061855829
0061856050
0061856051
0061856714
0061856715
0061856845
0061856846
0061857204
0061857684
0061858277
0061858282
0061858742
0061858743
0061858744
0061859432
0061859433
0061859434
0061859664
0061859939
0061860117
0061860119
0061860864
0061860865
0061861498
0061861499
0061861772
0061861835
0061861901
0061861997
0061861998
0061861999
0061862000
0061862491
0061862492
0061862493
0061862494
0061862627
0061863081
0061863082
0061863083
0061863084
0061863780
0061863781
0061866020
0061866487
0061867583
0061867659
0061868583
0061869277
0061869546
0061869547
0061869548
0061870695
0061870732
0061870733
0061870739
0061870740
0061870741
0061870742
0061870836
0061870837
0061870838
0061870839
0061870840
0061871264
0061871265
0061871266
0061871684
0061872019
0061872020
0061872021
0061872617
0061873211
0061873212
0061873213
0061873269
0061875343
0061875463
0061875464
0061875465
0061875889
0061876297
0061876671
0061876682
0061877494
0061877495
0061878601
0061878602
0061878603
0061878604
0061878945
0061879941
0061879965
0061880065
0061880086
0061880087
0061880089
0061880094
0061880237
0061880238
0061880239
0061880281
0061880699
0061880700
0061880701
0061880902
0061880903
0061880953
0061881637
0061881688
0061882036
0061882212
0061882923
0061882924
0061882925
0061882926
0061882987
0061883080
0061883201
0061883212
0061883573
0061883574
0061883575
0061883576
0061884155
0061885073
0061885363
0061885664
0061885665
0061886217
0061886221
0061887032
0061887033
0061887069
0061887463
0061887464
0061887816
0061887817
0061887818
0061887819
0061888325
0061888451
0061888649
0061888650
0061888674
0061888900
0061888986
0061889342
0061889343
0061889344
0061890427
0061890595
0061890596
0061890935
0061890985
0061891614
0061891647
0061892031
0061892032
0061892033
0061892034
0061892126
0061892127
0061893511
0061893512
0061893513
0061893514
0061893523
0061894132
0061894133
0061894134
0061894135
0061894398
0061894495
0061895354
0061895355
0061895356
0061895357
0061895696
0061895836
0061895837
0061895838
0061895839
0061895840
0061897232
0061897233
0061898943
0061898961
0061899167
0061899635
0061899636
0061899637
00VL843258
00VL843260
00VL843262
00VL844674
00VL844675
00VL845499
00VL845500
00VL847389
00VL848417
00VL849200
00VL850011
00VL852461
00VL852462
00VL852463
00VL857023
00VL857024
00VL857199
00VL864167
00VL879122
00VL879123
00VL879124
00VL887228
00VL887229
00VL887230
Material No. 490101
UDI-DI 04046964186103
Lots
0061836643
0061852089
0061859908
0061865711
0061879873
0061879966
0061883202
0061888317
0061898681
00VL841919
00VL843987
00VL844536
Material No. 490102
UDI-DI 04046964186127
Lots
0061814344
0061815234
0061815495
0061816433
0061816434
0061816799
0061817576
0061817981
0061817982
0061817999
0061818000
0061818001
0061818002
0061818003
0061818440
0061818441
0061818710
0061819705
0061819706
0061820091
0061821592
0061821593
0061821980
0061821981
0061821982
0061822587
0061822588
0061822924
0061823031
0061823066
0061824458
0061824886
0061825227
0061825228
0061825484
0061826189
0061826190
0061826492
0061826493
0061826681
0061827327
0061828017
0061828018
0061830095
0061830096
0061830105
0061831681
0061831734
0061831735
0061831736
0061831851
0061831852
0061833558
0061833559
0061834650
0061834651
0061835422
0061835423
0061836366
0061836367
0061837030
0061837031
0061837032
0061837033
0061837034
0061837035
0061837036
0061837037
0061837038
0061837039
0061837204
0061837296
0061837297
0061837895
0061840200
0061841548
0061842989
0061843025
0061843266
0061843596
0061844300
0061845181
0061845292
0061847043
0061847177
0061847178
0061847179
0061847390
0061848009
0061848370
0061848659
0061848660
0061848898
0061849509
0061849510
0061850326
0061850535
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00VL853455
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Material No. 490103
UDI-DI 04046964302107
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Material No. 490104
UDI-DI 04046964186141
Lots
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Material No. 490105
UDI-DI 04046964186165
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00VL872182
00VL872183
00VL872184 |
Recalling Firm/ Manufacturer |
B. Braun Medical, Inc. 901 Marcon Blvd Allentown PA 18109-9512
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For Additional Information Contact | BBMI Postmarket Surveillance Department 833-425-1464 |
Manufacturer Reason for Recall | In affected products, the tubing outer diameter may vary in size or the length of tubing may be too short. Both issues may lead to false air-in-line alarms, which will stop the infusion and interrupt therapy. Interruptions or delays in medication administration may result in serious injury to patients which may be life-threatening (e.g. interruption of a vasopressor to a hemodynamically unstable patient) or may lead to death. |
FDA Determined Cause 2 | Process control |
Action | On November 1, 2023, the firm notified customers via URGENT MEDICAL DEVICE CORRECTION letters. Customers were informed that administration sets with lot number 0061902124 and higher were manufactured with revised specifications which should reduce the potential for false air-in-line alarms. After November 30, 2023, all lots distributed by BBMI will have been manufactured with these revised specifications.
The firm provided interim measures for users to apply for affected product. For example, users should not use tubing with noticeably smaller outer diameter or which needs to be stretched to fit within the pump.
If possible, unaffected lots of product should be diverted to areas that infuse high risk medications or other infusions with acute clinical effects due to initial limited supply of the new administration sets. Affected lots should be diverted to care areas that do not infuse high risk medications or other infusions with acute clinical effects.
When infusing high risk medications or infusions with acute clinical effects, customers were advised to have a second pump with an administration set available for exchange in the event of a false alarm. If a second pump is not available, have a second administration set available for exchange in the event of a a false alarm. Additional patient monitoring is required.
Adverse reactions or quality problems experienced with this product, or questions about this correction may be reported to BBMI s Postmarket Surveillance Department by calling 1-833-425-1464. |
Quantity in Commerce | 33,820,976 units |
Distribution | Distribution US nationwide, Canada and Germany. |
Total Product Life Cycle | TPLC Device Report |
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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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
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510(K) Database | 510(K)s with Product Code = FPA
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