Prometra Programmer (Grand Prime) Software version 2.00.29, Cat. No. 13828, used with Prometra an...
FDA Device Recall #Z-1713-2019 — Class II — March 21, 2019
Recall Summary
| Recall Number | Z-1713-2019 |
| Classification | Class II — Moderate risk |
| Date Initiated | March 21, 2019 |
| Status | Terminated |
| Voluntary | Voluntary: Firm initiated |
Recalling Firm
| Firm | Flowonix Medical Inc |
| Location | Mansfield, MA |
| Product Type | Devices |
| Quantity | 40 |
Product Description
Prometra Programmer (Grand Prime) Software version 2.00.29, Cat. No. 13828, used with Prometra and Prometra II Programmable Pumps. For intrathecal infusion.
Reason for Recall
The pump shuts down unexpectedly if Error 115, an alarm associated with a watchdog timer timeout, is triggered. There has been an increase of Error 115 occurrences due to a software defect caused by a Healthcare Provider using a Clinician Programmer, Software Version 2.00.29, to program a Bridge or Demand bolus while the pump is set to either a Periodic Flow or Multiple Rates flow mode.
Distribution Pattern
US nationwide distribution.
Lot / Code Information
Software v.2.00.29 Serial numbers: D18L0003 D18L0022 D18L0013 D18L0035 D18L0004 D18L0025 D18L0014 D18L0036 D18L0006 D18L0026 D18L0015 D18L0037 D18L0010 D18L0027 D18L0016 D18L0038 D18L0009 D18L0028 D18L0017 D18L0034 D18L0008 D18L0029 D18L0018 D18L0039 D18L0007 D18L0030 D18L0019 D18L0040 D18L0011 D18L0031 D18L0021 D18L0041 D18L0005 D18L0032 D18L0023 D18L0042 D18L0012 D18L0033 D18L0024 D18L0020
Other Recalls from Flowonix Medical Inc
| Recall # | Classification | Product | Date |
|---|---|---|---|
| Z-1996-2021 | Class II | Physician Order Form (PL-15400-00, Nov. 2018) d... | May 26, 2021 |
| Z-1121-2020 | Class II | Prometra II 20mL Pump. Catalog No. 13827 The de... | Dec 24, 2019 |
| Z-1124-2020 | Class II | Prometra Programmable 20mL Pump. Catalog No. 91... | Dec 24, 2019 |
| Z-1123-2020 | Class II | US Clinical 20mL Programmable Pump. Catalog No.... | Dec 24, 2019 |
| Z-1120-2020 | Class II | Prometra Programmable 20mL Pump. Catalog No. 11... | Dec 24, 2019 |
Frequently Asked Questions
A software recall means the device's embedded software or firmware has a defect that could affect its performance or safety. Many software recalls are corrected through firmware updates that can be applied without physically replacing the device. For implantable devices, the update may be delivered wirelessly during a routine clinic visit. For external devices, the manufacturer may provide updated software files or replacement units. Contact your healthcare provider to determine whether your specific device and software version are affected and what action is recommended.
Class I recalls indicate a reasonable probability of serious adverse health consequences or death from the defect. Class II recalls involve products that may cause temporary or medically reversible adverse health consequences, or where serious consequences are remote. Class III recalls cover products not likely to cause any adverse health consequences, typically involving technical regulatory violations. The classification guides urgency — Class I recalls require immediate action, while Class III may simply involve returning a product or acknowledging a labeling change. Always read the specific recall notice for recommended patient actions.
Report problems with medical devices to the FDA through MedWatch at 1-800-FDA-1088 or online at FDA.gov/safety/medwatch. Healthcare facilities are required by law to report device-related serious injuries and deaths. Patients and consumers can also report voluntarily. Include the device name, manufacturer, model number, and a description of the problem and any patient outcome. Reports from patients and clinicians help the FDA identify emerging safety signals and may trigger investigations that lead to recalls of dangerous devices.
What Should You Do?
Stop using this device if you are affected by this recall. Contact your healthcare provider and the manufacturer immediately for guidance. Report adverse events to FDA MedWatch.