| | Class 2 Device Recall Allon |  |
| Date Initiated by Firm | May 13, 2025 |
| Date Posted | June 12, 2025 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-1966-2025 |
| Recall Event ID |
96854 |
| 510(K)Number | K024128 |
| Product Classification |
System, thermal regulating - Product Code DWJ
|
| Product | Allon 2001. Part Number: 200-00263 |
| Code Information |
Part Number: 200-00263. UDI-DI: 007290107581103, Serial Numbers: 99111143000002, 99111143000014, 99111627300034, 9993901600001, 9993901600002, 9993901600004, 9993901600006, 9993901600007, 9993901600009, 9995356300005, 9995356300006, 9995356300007, 9995356300008, 9996673800002, 99111143000001, 99111143000003, 99111143000004, 99111143000007, 99111143000008, 99111143000009, 99111143000011, 99111143000012, 99111143000013, 99111143000015, 99111143000018, 99111143000019, 99111288700016, 99111288700021, 99111288700035, 99111288700036, 99111627300011, 99111627300017, 99111627300022, 99111627300029, 99111627300040, 99111627300041, 99111627300045, 99111627300046, 99111627300054, 99111627300057, 99111627300064, 99111627300067, 99113168300004, 99113168300005, 99113168300008, 99113168300010, 99113168300012, 99128623400008, 99129614700002, 99129614700005, 99131046400001, 99131046400003, 99131046400004, 99131046400005, 99131046400006, 99131046400009, 99131046400011, 99131046500007, 99132732400009, 99132732400018, 99132732400019, 99134232100011, 99132121000010, 99113168300003, 9983349800008, 9991451200002, 9991451200004, 9992175000001, 9995356300010, 99111627300001, 99111627300008, 99113168300013, 99132121000014, 99132732400005, 99134232100001, 99134232100002, 99134232100003, 99134232100009, 99134232100022, 99134232100035, 99111627300042, 99111627300056, 99111627300058, 99111627300059, 99113168300014, 99111627300020, 99111627300049, 99113168300006, 99128623400003, 99132121000013, 99134232100018, 9991451200001, 99111143000006, 99111627300005, 99111627300035, 99113168300001, 99113168300002, 99113168300007, 99111627300053, 99111288700014, 99111288700017, 99111288700018, 99111288700019, 99111288700020, 99111627300016, 99111627300032, 99111143000017, 99111143000021, 99111143000022, 99111288700001, 99111288700002, 99129614700009, 9962076700011, 99132121000012, 99132121000015, 99132121000005, 99132121000007, 99111627300009, 99134232100017, 99131046400008, 9995356100003, 99113168300011, 99111627300025, 99132121000009, 99111627300061, 99111627300038, 9974083900001, 99111627300030, 9991451200006, 99111627300018, 9976534100006, 9945767700003, 9983349700008, 9991451200003, 9991451200009, 99111288700005, 99111627300031, 99128623400004, 99128623400005, 99128623400007, 99129614700001, 99129614700003, 99129614700004, 99129614700007, 99129614700008, 99131046400002, 99131046500001, 99131046500002, 99132121000001, 99128623400006, 99111143000016, 9969414000006, 99134232100013, 99134232100021, 99111627300036, 99132121000017, 99132121000018, 99132121000019, 99132121000020, 99132732400002, 99132732400006, 99132732400013, 99132732400014, 99134232100005, 99134232100010, 99132121000016, 99111627300013, 99111627300033, 99111627300043, 99111627300044, 99111627300051, 99111627300063, 99129614700006, 99111627300007, 99111627300024, 99111627300037, 99111627300047, 99111627300014, 99111627300052, 99113168300009, 99128623400001, 99128623400002, 99128623400009, 99128623400010, 99134232100008, 99111143000020, 99131046400010, 99132121000011, 99132732400007, 99132732400011, 99132732400012, 99132732400016, 99134232100034, 99132732400008, 99132732400015, 99132732400017, 99132732400020, 99134232100014, 9959060500014, 99111627300026, 99134232100004, ", 99134232100006", 9991451200005, 9995356200008, 99111143000010, 99111288700004, 99131046500003, 99131046500005, 9973536800007, 99131046500004, 99131046500008, 99131046500009, 99132121000004, 99132121000006, 99132121000008, 99134232100026, 99132732400001, 99132732400003, 99132732400004, 99134232100007, 99134232100019, 9940577300005, 99111143000005, 99111627300048, 99111627300062, 99132121000002, 9979841500003, 99132121000003, 99131046500010 |
| FEI Number |
1219702
|
Recalling Firm/ Manufacturer |
Belmont Instrument LLC 780 Boston Rd Billerica MA 01821-5925
|
| For Additional Information Contact | Lida Reed 978-696-9245 |
Manufacturer Reason for Recall | An investigation into a report of the patient wrap (ThermoWrap), used with the Allon device, exceeding the set temperature determined that if:
1. The Human Sensor Board is disconnected from the Controller Board in the Allon device AND the temperature alarms are disabled, or
2. The Water In and Water Out and Thermostat sensors are disconnected from the Human Sensor Board AND the temperature alarms are disabled, the device will proceed to heat the water above the hardware fault limit without notifying the user of the faulty condition. |
FDA Determined Cause 2 | Device Design |
| Action | Belmont Medical Technologies notified consignees via letter on about 05/13/2025. Consignees were instructed to ensure users of the devices are made aware of the correction, identify affected units on hand and check their serial numbers, ensure all devices have the Temp Sensor Alarms always set to ON to ensure that the user
is alerted to errors and conditions requiring actions and attach the provided Step by Step Guide (P/N DDT-063-027) to each device. Consignees were also instructed to complete and return the response form and notify customers if the units were further distributed. |
| Quantity in Commerce | 229 units |
| Distribution | Worldwide - US Nationwide distribution in the states of CA, DC, LA, MA, NM, PA, TX, VA, WA and the countries of Belgium, Bolivia (Plurinational State of), Brazil, Canada, Colombia, Israel, Italy, Portugal, Romania, Sweden, Taiwan (Province of China), Thailand, United Kingdom.
|
| 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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
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| 510(K) Database | 510(K)s with Product Code = DWJ
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