Date Initiated by Firm | February 26, 2021 |
Date Posted | May 10, 2021 |
Recall Status1 |
Terminated 3 on August 15, 2024 |
Recall Number | Z-1543-2021 |
Recall Event ID |
87773 |
510(K)Number | K133532 |
Product Classification |
Pump, infusion - Product Code FRN
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Product | Alaris Pump Module, Model 8100, serviced/repaired by Step-Har Medical with an impacted bezel repair part |
Code Information |
Serial Numbers: 12747983 and 9919591 |
Recalling Firm/ Manufacturer |
STEP-HAR MEDICAL LLC 11237 Slater Ave Fountain Valley CA 92708-5417
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Manufacturer Reason for Recall | Bezel repair parts used, not by the original manufacturer, to service and repair infusion pump modules, may over time experience cracking or separation of the posts from the bezel. The separation of one or more bezel repair part posts may result in free flow, over infusion, under infusion or interruption of infusion. |
FDA Determined Cause 2 | Component design/selection |
Action | On 02/26/2021, the one customer was notified of the recall via phone call and email. On 04/15/21, a Voluntary Field Safety Corrective Action notice were mailed. The firm asked their customer to respond so the bezel repair part could be replaced. Customers can contact the recalling firm at: 657-267-0054 or stdoan@stepharmedical.com |
Quantity in Commerce | 2 |
Distribution | IA |
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 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 = FRN
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