Physician Order Form (PL-15400-00, Nov. 2018) distributed to end user used with the following: P...
FDA Device Recall #Z-1996-2021 — Class II — May 26, 2021
Recall Summary
| Recall Number | Z-1996-2021 |
| Classification | Class II — Moderate risk |
| Date Initiated | May 26, 2021 |
| Status | Terminated |
| Voluntary | Voluntary: Firm initiated |
Recalling Firm
| Firm | Flowonix Medical Inc |
| Location | Mansfield, MA |
| Product Type | Devices |
| Quantity | N/A |
Product Description
Physician Order Form (PL-15400-00, Nov. 2018) distributed to end user used with the following: Prometra Programmable Infusion Pump System: MODEL/CATALOG #(s): Catalog No. US Model GTIN-14 11827 Prometra Programmable 20mL Pump 00810335020082 13827 Prometra II Programmable 20mLPump 00810335020228 16827 Prometra II Programmable 40mLPump 00810335020242
Reason for Recall
Physician Order Form (PL-15400-00 Nov 2018) distributed is discontinued due to the text 'Refill the pump and program refill with the same medication removed prior to MRI' may be misinterpreted as 'reuse the same drug solution extracted from the pump prior to the MRI procedure', creating a possible risk of infection
Distribution Pattern
US Nationwide distribution.
Lot / Code Information
All Physician Order Form (PL-15400-00, Nov. 2018)
Other Recalls from Flowonix Medical Inc
| Recall # | Classification | Product | Date |
|---|---|---|---|
| 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 |
| Z-1125-2020 | Class II | Prometra II Programmable 20mL Pump. Catalog No.... | Dec 24, 2019 |
Frequently Asked Questions
Contact your healthcare provider and the device manufacturer immediately. Check whether your specific model number and lot number are included in the recall scope. For external devices, stop using the affected product and arrange a replacement. For implanted devices, do not panic — removal is typically not required unless the risk assessment clearly indicates it. Your physician will guide you based on your individual clinical situation and the FDA's recommended actions. Report any adverse effects you may have experienced to FDA MedWatch at 1-800-FDA-1088.
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.