GEM Premier 3000 PAK - pH, pCO2, pO2, Hct, Na+, K+, Ca++, Glucose and Lactate, Part Numbers 00024315009, 00024330009, 00024345009, 00024360009
- Company
- Instrumentation Laboratory
- Recall Initiated
- September 29, 2023
- Posted
- November 21, 2023
- Recall Number
- Z-0359-2024
- Quantity
- 2448 units
- Firm Location
- Bedford, MA
Reason for Recall
Internal testing identified that the GEM Premier PAKs (cartridges) may exhibit an over-recovery (i.e., positive bias) of pO2 results in the low range (at pO2 levels less than 60 mmHg) that are outside of labeled performance specifications for pO2. The positive bias may lead to false positive for medical decision levels at pO2 < 60 mmHg, which may result in failure to detect and/or adequately treat hypoxemia and lead to a delay in treatment. The quality control procedures for the Non-iQM GEM Premier 3000 may not detect the non-conformance.
Distribution
US States: MA, MN, NY. India.
Lot / Code Info
Part No. 00024315009: UDI-DI: 08426950082491, Lot Numbers: 323442F, 323142D, 323042K, 323142A, 323342K, 326142H, 323742C, 325442D, 325442E, 323042E, 324342A, 323042G, 323342H, 323542E, 324542A, 323542A, 324342B, 324042F, 323442H, 326442C, 325442F, 325942E, 326342B, 326142F, 325842C, 326442F; Part No. 00024330009: UDI-DI: 08426950082521, Lot Numbers: 323152A, 323152B, 324252B, 323552I, 323652I, 326152H, 323752B, 323352G, 323352H, 323052G, 323552A, 324352B, 324552A, 324052F, 323052E, 323352I, 323552F, 323352K, 325452F, 326352BC; Part No. 00024345009: UDI-DI: 08426950082552, Lot Numbers: 323462F, 323062K, 323162A, 323162C, 323562F, 323562I, 323662I, 323762D, 323762G, 323762J, 323862A, 323462C, 325762B, 323662D, 324462C, 324562A, 323362F, 325462F, 326362B; Part No. 00024360009: UDI-DI: 08426950082576, Lot Numbers: 323072J, 323072K, 323672I, 323772J, 324172D, 324372B, 323572A, 324072F, 325472F;
Root Cause
Under Investigation by firm
Action Taken
An URGENT MEDICAL DEVICE RECALL notification letter dated 9/29/23 was sent to customers. Mandatory Customer Actions Please take the following immediate actions: " Check your inventory for the GEM Premier 3000 Non-iQM PAK (cartridge) lot numbers listed in Appendix A. " Discontinue use and destroy any GEM Premier 3000 Non-iQM PAK (cartridge) lot numbers listed in Appendix A. " Document the destruction on the Mandatory Tracking Response Record and return the completed and signed form to Werfen Regulatory at the fax number or e-mail address listed below. " Contact Werfen Customer Service at 1-800-955-9525 to order replacement PAKs (cartridges). " Share this information with your laboratory staff and follow your internal procedures. " Forward this notification to all affected locations within your facility. " Retain a copy of this notification for your records. Mandatory Response Tracking Record " Return the completed and signed Mandatory Response Tracking Form to: " Fax No.: 1-781-861-4207 Or " E-mail: ra-usa.na@werfen.com Contact Information for Questions " For technical questions, contact the Technical Support Center at 1-800-678-0710. " For replacement cartridges, contact Customer Service at 1-800-955-9525.