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Recall Observatory FDA recall evidence

Device evidence

device-recall:cfres:187755

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

Official recall number

Z-1996-2021

Evidence summary

Product code
LKK
Recall status
Terminated
Event initiated
May 26, 2021
Root cause
Error in labeling
Source snapshot
5482458777762b1480c71ac49b2913b9c7984bb55aac66a4315d018da7cfed2c
Product
Z-1996-2021

Field note

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