Highest risk U.S. Food and Drug Administration

Alaris Pump Module Model 8100 and Certain Alaris Pump Infusion Sets recall: Weakening of the plastic can lead to damage or separation of the bezel posts

Recall published 7+ years ago

Weakening of the plastic can lead to damage or separation of the bezel posts which can cause issues with infusion, or unintended delivery of medication when pump module is not in running status

The hazard: Device safety concern

A device recall was filed for this product. For anything implanted or relied on daily, the clinician comes before the paperwork.

What the notice says: Both recalls have been associated with medical device reporting (MDR) submissions, several of which are associated with serious injuries.

Why it matters: The FDA recorded an enforcement action against this device. Most device recalls are corrections rather than removals, so the device often stays in use while the manufacturer issues a fix.

Recall details

Published
July 18, 2019
Risk level
Highest risk
Issued by
U.S. Food and Drug Administration
Brand
Alaris
Product type
Medical devices

Products covered by this recall

Alaris Pump Module Model 8100 and Certain Alaris Pump Infusion Sets

What the company announced

BD (Becton, Dickinson and Company) (NYSE: BDX), a leading global medical technology company, today provided an update on two voluntary recalls related to certain Alaris™ Pump Modules Model 8100 manufactured between April 2011 and June 2017 and certain model codes and lot numbers of the Alaris™ Pump Infusion Sets used with the Alaris™ Pump Model 8100. BD has already notified customers affected by these recalls. Both products were formerly marketed under the CareFusion brand, which BD acquired in March 2015.

Both actions have been designated as a Class I recall by the U.S. Food and Drug Administration (FDA). Both recalls have been associated with medical device reporting (MDR) submissions, several of which are associated with serious injuries.

Alaris™ Pump Module Model 8100

In a recall notification sent on April 15, 2019 , BD informed clinicians that the bezel assemblies in the Alaris pump modules subject to this recall expansion were manufactured with a specific type of plastic material. The company conducted an investigation and determined that the bezel manufacturing process resulted in weakened plastic. Over time, further weakening of the plastic has the potential to lead to separation of the bezel posts, as well as other damage to the bezel, which may result in free-flow, over-infusion, under-infusion or interruption of infusion.

No products manufactured after June 2017 are affected by this recall, including the BD Alaris™ PCU and BD Alaris™ Pump Module that were introduced in March 2018.

BD is contacting the customers affected by the Alaris Pump Module Model 8100 bezel recall to schedule replacement of bezel assemblies. On April 15, 2019, the BD customer notification instructed customers to inspect all pumps included in this action during the annual preventive maintenance, and if damage is found, the pump should be removed from service and BD should be contacted. The revised recall notification indicates that until the bezels affected by this recall are replaced, customers should inspect both Priority 1 and Priority 2 pumps as soon as feasible. In addition to posting the updated recall notification on BD’s website, this updated notification will be sent to all customers by July 31, 2019.

There are no changes to the affected product list. Customers should continue to refer to the attachments included in the recall notification issued on April 15, 2019.

Information about this recall, including the original and updated recall notification, is available on BD’s website at alaris.bdproductnotice.com or call BD at 888-562-6018.

Alaris™ Infusion Sets

In a recall notification sent on May 6, 2019 , BD confirmed that an incomplete occlusion can occur on the pumping segment of certain Alaris™ Pump Model 8100 infusion sets. This is caused by a variation in the wall thickness of the pumping segment of the affected infusion sets. Use of the affected products has the potential to lead to unintended delivery of medication when the pump module is not in running status, flow inaccuracies through the pumping cycle process resulting in an over-infusion, and the potential for serious patient injury depending on the type of medication that is being delivered. Instructions for customers, including a full list of affected product codes, lot numbers and expiration dates are included on the BD website at https://www.bd.com/en-us/support/recall-notifications/recall-notification-alaris-pump-infusion-sets . BD is instructing customers to destroy all Alaris Infusion Sets affected by this recall.

Customer inquiries related to this action should be addressed to BD’s Regional Customer Quality team at 888-237-2762.

FDA MedWatch Reporting

Adverse reactions or quality problems experienced with the use of this product may be reported to the FDA's MedWatch Adverse Event Reporting program either online, by regular mail or by fax.

Complete and submit the report Online

Regular Mail or Fax: Download form or call 1- 800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to 1-800-FDA-0178

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About BD

BD is one of the largest global medical technology companies in the world and is advancing the world of health by improving medical discovery, diagnostics and the delivery of care. The company supports the heroes on the frontlines of health care by developing innovative technology, services and solutions that help advance both clinical therapy for patients and clinical process for health care providers. BD and its 65,000 employees have a passion and commitment to help enhance the safety and efficiency of clinicians' care delivery process, enable laboratory scientists to accurately detect disease and advance researchers' capabilities to develop the next generation of diagnostics and therapeutics. BD has a presence in virtually every country and partners with organizations around the world to address some of the most challenging global health issues. By working in close collaboration with customers, BD can help enhance outcomes, lower costs, increase efficiencies, improve safety and expand access to health care. For more information on BD, please visit bd.com .

Reproduced from the company announcement posted on fda.gov. Links and contact forms in the original are not repeated here; the official notice below has them.

Check your product

The notice names 3 codes you can read straight off the package. Type the one printed on yours and the list below narrows to it.

Model or item number

On the rating label, the box or the instruction sheet.

  • 8100
  • 8100. BD
  • 201

Codes are lifted verbatim from the FDA — Company recall announcements notice. A code that is missing here may still be covered — the official notice is the complete list.

What to do about Device

Alaris — A device recall was filed for this product. For anything implanted or relied on daily, the clinician comes before the paperwork.

  1. Match the model, catalogue, lot and serial numbers on your device against the identifiers on this page.
  2. Report device problems to the FDA through MedWatch.
  3. If the device is implanted or you depend on it daily, speak to your clinician before changing how you use it.
  4. Ask the supplier or clinic that provided it what the remedy is in your case.

Claiming on a recalled device

Device recalls are tracked by serial and lot number, so your claim moves faster if you lead with those.

  • Have the model, catalogue, lot and serial numbers ready before you call — they are on the device label or its box.
  • Ask explicitly whether your unit is in the affected range; many recalls cover only part of a model line.
  • If you need the device daily, ask what interim arrangement they offer while the remedy is carried out.
  • Log the date, the name and the reference number of every call. Device recalls can run for months.

Remedy named in the notice: BD is contacting the customers affected by the Alaris Pump Module Model 8100 bezel recall to schedule replacement of bezel assemblies.

Company contact: BD — Consumers: 888-562-6018 — Media: Kristen Cardillo, BD Public Relations, 201.847.5657, [email protected]

The official notice

This page summarises a notice published by U.S. Food and Drug Administration. The agency notice is the authoritative version — read it before you act, and treat it as the final word if anything here looks different.

Open the FDA — Company recall announcements record U.S. Food and Drug Administration recalls

Questions people ask about this recall

Why was Alaris medical devices recalled?

Weakening of the plastic can lead to damage or separation of the bezel posts which can cause issues with infusion, or unintended delivery of medication when pump module is not in running status Both recalls have been associated with medical device reporting (MDR) submissions, several of which are associated with serious injuries.

How do I know if I have the recalled product?

Match the codes printed on your package against the notice: model number 8100, 8100. BD, 201. If the code on your package is not on that list, your unit is outside the recall.

What should I do with it right now?

Match the model, catalogue, lot and serial numbers on your device against the identifiers on this page.

Can I get my money back?

The notice says: BD is contacting the customers affected by the Alaris Pump Module Model 8100 bezel recall to schedule replacement of bezel assemblies.

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