RecallDepth

BodyGuard Microset, REF: A100-163XESV

Company
Cme America, Llc
Recall Initiated
June 16, 2020
Posted
July 15, 2020
Terminated
May 9, 2022
Recall Number
Z-2555-2020
Quantity
178057
Firm Location
Golden, CO

Reason for Recall

Infusion administration sets may have a delivery inaccuracy over plus/minus 13%, ranging from minus 42.8% to plus 17.5%. Use of the infusion pump system could cause over-infusion or under-infusion of therapy

Distribution

U.S: CA, IN, LA, MO, FL, IL, ME, MN, CO, VA, OK, NE, GA, AL, KY, IA, MS, ID, TX, SC, OH, SD, NV, MI, WY, NC, PA, TN, KS, NJ, OR, AR, NM, MA, NY, DC, RI, MD, WA, WI, AZ, NH, UT, HI, AK, MT, ND, VT, CT. OUS (Foreign): Canada, UK

Lot / Code Info

All lots within expiry date

Root Cause

Device Design

Action Taken

On 06/16/20, Urgent Medical Device Recall Correction and Removal notices were emailed and mailed to customers and distributors. These notices provided additional information about the administration sets that were first identified in another recall notification issued on 04/27/20: www.bd.com/en-us/support/recall-notifications/recall-notification---cme-america-bodyguard-infusion-pump-system Customers ere asked to take the following immediate actions: 1) Share this letter with all users of the product within your facility to ensure awareness and understanding of this notice. 2) Identify any remaining inventory of infusion sets in Category C and D, document the infusion sets on the Customer Response Form, and discard following your institution s policy for destruction. 3) Identify any remaining inventory of infusion sets in Category B and document that on the Customer Response Form. Labels stating, in part, do not use for flow rates greater-than 500mL/hr, will be provided upon receipt of response forms, so customers may affix them to those devices. The quantity of Category A sets should be noted on the response form. Category A sets can be used for non-critical medications where plus/minus 13% accuracy does not adversely impact patients. There is no flow rate restriction for these sets. The recalling firm is suspending further distribution of the infusion pump system until further notice and will remove these products from the U.S. market. The firm will work with customers to facilitate a smooth transition away from the product. A supply of infusion sets in Category A and Category B will be maintained to support the Infusion Pumps remaining at facilities until the removal or disposal of pump(s) is complete. Distributors were asked to email customer lists to the recalling firm so the recalling firm can notify these customers directly. Customers with additional questions were encouraged to call Customer/Technical Support at 877-263-0111 between 8AM to 5PM MDT.

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