Print version of this report
Type of Product Medical Device
TGA Recall Reference RC-2017-RN-00138-1
Product Name/Description Alaris Syringe Module Model 8110

Software version v9.15

ARTG Number: 175353
Recall Action Level Hospital
Recall Action Classification Class II
Recall Action Commencement Date 27/01/2017
Responsible Entity CareFusion Australia 316 Pty Ltd
Reason/Issue Becton Dickinson (BD) has identified a software anomaly with the Alaris Syringe Module, model 8110; software version 9.15. This anomaly may cause a small percentage of syringe infusions to unexpectedly stop when an infusion is transitioning from one state to another. Infusion transitions that may be impacted by the failure are:
- A complete bolus transitioning to a continuous infusion
- A basic, continuous or intermittent infusion transitioning to Near End of infusion (NEOI) state
- A basic, continuous or intermittent infusion transitioning to a Keep the Vein Open (KVO) state

The error code will cause an audible and visual alarm on the Alaris PC unit and scroll a channel error message on the Alaris Syringe module. Becton Dickinson is not aware of any report of injury attributed to this defect.
Recall Action Recall for Product Correction
Recall Action Instructions BD will arrange for a product correction (i.e. software upgrade) to mitigate the issues. In the interim, users are advised that if error code 351.6610 occurs, the user can clear the channel error by pressing “CONFIRM”. After the channel error is cleared on the PC unit, the user can detach and re-attach the module to restart the infusion, or power off the PC unit and then power back on to restart a new infusion. The user should replace the affected Syringe module as soon as possible and isolate the Alaris Syringe module that exhibits the channel error code.
This action has been closed-out on 21/03/2018.
Contact Information 02 9624 9033 - Becton Dickinson