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U.S. Department of Health and Human Services

Class 1 Device Recall GOBlock

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  Class 1 Device Recall GOBlock see related information
Date Initiated by Firm May 10, 2013
Date Posted June 06, 2013
Recall Status1 Terminated 3 on March 07, 2014
Recall Number Z-1462-2013
Recall Event ID 65192
Product Classification Pump, infusion, elastomeric - Product Code MEB
Product Part 510636 Disposable Infusion Pump, ...Elastomeric Pump 600 mL( 300 ml perside), 2 to 10 ml/hr. Delivery time 60 to 144 hours; found in the following kits:
GoBlock Kit 510646,

Disposable Infusion Pump for drug delivery. Symbios GOBlock System is a disposable, self contained infusion system.
Code Information Pump Part 510636 , Lot 11-100632- Lot 12-101233 found in:  GoBlock Kit 510646, Lot 11-100632- Lot 12-101233
Recalling Firm/
Manufacturer
Symbios Medical Products, LLC
7301 Georgetown Rd.
Suite 150
Indianapolis IN 46268
For Additional Information Contact Tom Cavanaugh
317-225-4447
Manufacturer Reason
for Recall
Symbios Medical Products, Indianapolis, Indiana, is performing a voluntary recall of all GoPumps found in the GoPump Rapid Recovery System kits and all GoBlock kits manufactured with flow control components assembled prior to July 2012. The recall is being expanded after receiving additional reports relating to excessively high flow rates on the 150 mL reservoir, 2 mL/hr GOPump (PN510031), and the
FDA Determined
Cause 2
Under Investigation by firm
Action Symbios sent UrgentMedical Device Recall notices to all consignees beginning May 10, 2013. A second corrected/amended notice was sent on May 14, 2013 to consignees and a National Press release was issued. May 30,2013, a third amended Urgent Recall Notice was sent to all consignees correcting the pump description and lot number range table on page 5 of the notice. The notices and press release provided identification of the recalled devices including devices in the previous February 2013 recall, described possible adverse events, and included directions to to quarantine product in a secure location, in preparation for return. Consignees were asked to call 317 225-4447 ext. 25, 8:00 a.m to 4:00 p.m. EDT to receive a Returned Goods Authorization Number prior to returning product. Consignees were asked to complete and return the Attached Verification Form. Question and Concerns should be addressed to 317-225-4447 ext 25.
Quantity in Commerce 33543
Distribution US Nationwide distribution.
Total Product Life Cycle TPLC Device Report

1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
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