FDA-Device2026-03-18Class IIPROCESSING DEFECT

Instrumentation Laboratory GEM Premier 5000 cartridges may eject repeatedly during startup

OTHERNationwide distribution

Check your GEM Premier 5000 cartridge performance

Some GEM PAK cartridges for the Instrumentation Laboratory GEM Premier 5000 blood gas analyzer are ejecting repeatedly during warm-up due to detection errors. This can delay test results and require staff to insert new cartridges multiple times. The device's quality control system (iQM2) will catch problems, but consecutive ejections may slow lab operations.

  • Review your GEM Premier 5000 lot numbers 251125S, 251201AJ, 251212O, 251218V, and 251229X
  • Monitor for repeated cartridge ejections during warm-up
  • Have backup cartridges ready to minimize delays
  • Contact Instrumentation Laboratory if you experience persistent ejection issues
Hazard

Confirmed customer complaints indicating that GEM PAKs (cartridges) for the GEM Premier 5000 may experience an increased incidence of Process Control Solution Not Detected (PCSND) errors during warm-up, including consecutive occurrences, resulting in GEM PAK ejection and requiring insertion of a new GEM PAK. iQM2 is an active quality process control program designed to provide continuous monitoring of the entire testing process. Thus, if a GEM PAK completes AutoPAK Validation following warm-up, it may remain in use. Consecutive GEM PAK ejections during warm-up may prolong turnaround times, potentially delaying results. In such cases, patient management may require reassessment once results are available. While many GEM PAKs continue to perform as intended, consecutive ejections may increase the likelihood of operational disruption, highlighting the importance of advance planning where feasible to help minimize impact.

Sold states
Worldwide distribution - US Nationwide and the countries of Argentina, Austria, Australia, Belgium, Bulgaria, Brazil, Belarus, Switzerland, Canada, Chile, China, Colombia, Czech Republic, Germany, Denmark, Dominican Republic, Ecuador, Estonia, Spain, Finland, France, United Kingdom, Georgia, Greece, Guatemala, Hong Kong, Croatia, Hungary, Indonesia, Ireland, Israel, India, Italy, Jordan, Japan, South Korea, Kazakhstan, Lebanon, Lithuania, Luxembourg, Latvia, Macau, Mexico, Malaysia, Netherlands, New Zealand, Oman, Panama, Peru, Philippines, Poland, Portugal, Qatar, Romania, Serbia, Saudi Arabia, Sweden, Singapore, Slovenia, San Marino, South Africa, Thailand, Tunisia, Turkey, Uruguay, Uzbekistan & Vietnam.
Affected count
8 units
Manufactured in
180 Hartwell Rd, N/A, Bedford, MA, United States
Products
GEM Premier 5000; Part No. 00055415005.

Official notice

https://www.accessdata.fda.gov/scripts/ires/index.cfm?Product=Z-1533-2026

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