| Date Initiated by Firm | May 08, 2026 |
| Date Posted | July 29, 2026 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-2822-2026 |
| Recall Event ID |
99115 |
| 510(K)Number | K223608 |
| Product Classification |
Electrode measurement, blood-gases (pco2, po2) and blood ph - Product Code CHL
|
| Product | Brand Name: GEM Premier 7000 with iQM3
Product Name: GEM Premier 7000 with iQM3
Model/Catalog Number: 00000015279
Intelligent Quality Management 3 (iQM3) is used as the quality control (QC) and assessment system for the GEM Premier 7000. |
| Code Information |
Lot Code: GEM Premier 7000:
Part number: 00000015279
UDI: 0195226000924
Units distributed in US: 4 affected BCR wands on the GEM Premier 7000 in the US.
GEM Premier 7000 Serial Nos. 26012062, 26012065, 26012069 and 26012070.
Affected Accessory:
Bar Code Reader (BCR) Wand
Part number: 00024015859
UDI: 08426950869634
Units distributed in US: 4 |
| FEI Number |
1217183
|
Recalling Firm/ Manufacturer |
Instrumentation Laboratory 180 Hartwell Rd Bedford MA 01730-2443
|
| For Additional Information Contact | 781-861-4467 |
Manufacturer Reason for Recall | BCR wands that received a configuration update (released under Service Information No. 2026-07 on or after April 8, 2026) may assign patient results to an incorrect patient ID. The root cause is a race condition introduced when the "price check" feature was disabled to reduce excess current draw. This causes buffered data from a previous scan to be transmitted instead of the most recent scan, populating a prior patient ID instead of the current one. This can result in erroneous results being attributed to the wrong patient, potentially leading to inappropriate clinical management. |
FDA Determined Cause 2 | Software Design Change |
| Action | Werfen dba Instrumentation laboratory notified consignees on about 05/08/2026 via letter and/or email. Consignees were instructed to discontinue use of the affected BCR wands immediately, manually enter patient IDs when performing testing on the GEM Premier 5000 and/or 7000 until the BCR wands have been replaced, contact Werfen Service at 1-800-955-9525 to arrange for prompt replacement of the affected BCR wands, post this notification on or near affected GEM Premier 5000 and/or 7000 instruments, and inform all laboratory staff of this notification. Consignees were also instructed to forward the notification to all affected locations within each facility, retain a copy of the notification for records, and complete and return the Mandatory Response Tracking Form within 10 days of receipt.
In addition to the tracked customer notification, a Service Information (SI) 2026-09 was issued on May 11, 2026, for service personnel to track the destruction of the affected BCR wands. The Service Information includes a destruction form for service personnel to document the destruction of the affected BCR wands and to return the form to Regulatory for tracking purposes. |
| Quantity in Commerce | 4 US |
| 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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
|
| 510(K) Database | 510(K)s with Product Code = CHL
|