Z-1996-2021 Class II Terminated

Recalled by Flowonix Medical Inc — Mansfield, MA

Recall Details

Product Type
Devices
Report Date
July 7, 2021
Initiation Date
May 26, 2021
Termination Date
February 20, 2024
Voluntary/Mandated
Voluntary: Firm initiated
Product 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.

Code Information

All Physician Order Form (PL-15400-00, Nov. 2018)