| Date Initiated by Firm | July 15, 2005 |
| Date Posted | August 06, 2005 |
| Recall Status1 |
Terminated 3 on February 07, 2006 |
| Recall Number | Z-1105-05 |
| Recall Event ID |
32659 |
| 510(K)Number | K043000 |
| Product Classification |
Pump, Infusion, Insulin - Product Code LZG
|
| Product | Disetronic D-Tronplus Insulin Pump adapters; Ref 3000803; catalog reference number 0457243001 sold in packages of ten adapters. |
| Code Information |
All units with the following lot numbers being used by patients 13 years of age or younger: lots 4013674 through 4022628. The last affected lot expires in April 2007. |
Recalling Firm/ Manufacturer |
Roche Diagnostics Corp. 9115 Hague Rd Indianapolis IN 46256-1025
|
| For Additional Information Contact | Pump Support 800-688-4578 |
Manufacturer Reason for Recall | The adapter valve may not operate correctly, which may result in overdelivery of insulin in the first dose after the adapter has been changed. |
FDA Determined Cause 2 | Other |
| Action | The firm began notifying family members of pediatric patients via phone on 7/15/05 and immediately began shipping a recall letter and 10 packs of replacement adapters to each pediatric user. Attending physicians were for these pediatric patients were notified the week of 7/18/05 via phone and follow-up letters were sent to these physicians. The firm is issuing a press release on 7/28/05. Only these replacement adapters are being sold by Disetronic to users of any age ordering new adapters. |
| Quantity in Commerce | 107 pediatric patients use the device. |
| Distribution | Nationwide. |
| 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.
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| 510(K) Database | 510(K)s with Product Code = LZG
|