Skip to content
Recall Observatory FDA recall evidence

Device product

Medfusion Syringe Pump, Model 4000-XXXX-XX: a) 0100-50, b) 0100-249, c) 0101-50, d) 0101-51, e) 0101-78, f) 0101-249, g) 0105-51, h) 0105-78, i) 0105-249, j) 0106-00, k) 0106-01, l) 0106-231, m) 0107-01, software versions: v3, v4, v5, and v6

Z-0079-2024

August 16, 2023

Class II

Product summary

Firm
Smiths Medical ASD Inc.
Event
Event 92956
Status
Ongoing
Classification
Class II
Quantity
67507 pumps
Official record key
device-enforcement:Z-0079-2024

Official wording

Reason: A force sensor in the occlusion detector may drift out of calibration leading to increased occlusion detection times, false occlusion alarms, or a System Failure Alarm. If the force sensor calibration shift is large enough, the pump will display a System Failure Alarm (including Force Sensor BGND Test, Force Sensor Bridge Test, or Force Sensor Test). However, if the calibration shift is not large enough to trigger a System Failure Alarm, the threshold to detect an occlusion may increase, increasing the time to occlusion detection, or the threshold may decrease, leading to false occlusion alarms. Although shifts in the force sensor calibration may occur over time with any device, an increased potential for such shifts has been reported in devices produced before April 2022 due to mechanical interference between parts of the plunger head assembly. Out of an abundance of caution, we are notifying all customers of this potential issue.

Code information: a) 0100-50, UDI/DI 10610586035326; b) 0100-249, UDI/DI 10610586033124; c) 0101-50, UDI/DI 10610586040054; d) 0101-51, UDI/DI 10610586040818; e) 0101-78, UDI/DI 10610586040788; f) 0101-249, UDI/DI 10610586040078; g) 0105-51, UDI/DI 10610586043567; h) 0105-78, UDI/DI 10610586043574; i) 0105-249, UDI/DI 10610586043581; j) 0106-00, UDI/DI 15019517070750; k) 0106-01, UDI/DI 15019517069624; l) 0106-231, UDI/DI 15019517070996; m) 0107-01, UDI/DI 15019517154313; All serial numbers

Distribution pattern: Worldwide distribution - US Nationwide and the country of Canada.

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

    A force sensor in the occlusion detector may drift out of calibration leading to increased occlusion detection times, false occlusion alarms, or a System Failure Alarm. If the force sensor calibration shift is large enough, the pump will display a System Failure Alarm (including Force Sensor BGND Test, Force Sensor Bridge Test, or Force Sensor Test). However, if the calibration shift is not large enough to trigger a System Failure Alarm, the threshold to detect an occlusion may increase, increasing the time to occlusion detection, or the threshold may decrease, leading to false occlusion alarms. Although shifts in the force sensor calibration may occur over time with any device, an increased potential for such shifts has been reported in devices produced before April 2022 due to mechanical interference between parts of the plunger head assembly. Out of an abundance of caution, we are notifying all customers of this potential issue.