FDA Enforcement Class II Ongoing

3.0 Liter Disposable Set (4 sets/case). Model Number: 903-00032. The P/N 903-00032 consists of 4 Large Volume Reservoirs (P/N 903-00018) and 4 Heat Exchanger/Patient Line set (P/N 403-00382). The two components are packaged separately in individual pouches and placed in the same case for shipment. The female quick connector that may be cracked is located on the Heat Exchanger/Patient Line set.

Recall: Z-1678-2025 · Reported May 7, 2025

Enforcement

Recall Number
Z-1678-2025
Event ID
96625
Classification
Class II
Status
Ongoing
Product Type
Devices
Firm
Belmont Instrument LLC
Voluntary / Mandated
Voluntary: Firm initiated
Initial Notification
Letter
Report Date
May 7, 2025
Initiation Date
March 31, 2025
Classification Date
April 25, 2025
Address
780 Boston Rd, Billerica, MA, 01821-5925, United States

Description

3.0 Liter Disposable Set (4 sets/case). Model Number: 903-00032. The P/N 903-00032 consists of 4 Large Volume Reservoirs (P/N 903-00018) and 4 Heat Exchanger/Patient Line set (P/N 403-00382). The two components are packaged separately in individual pouches and placed in the same case for shipment. The female quick connector that may be cracked is located on the Heat Exchanger/Patient Line set.

Reason

Potential crack in the female connector located on the Heat Exchanger/patient line set, which will lead to a fluid leak through the crack during priming of the Rapid Infuser.

Code Info

Model Number: 903-00032. UDI-DI: 00896128002534. Lot Numbers: 20240911, 20241004, 20241011, 20241105

Distribution

Nationwide distribution to AL, AZ, CA, CO, CT, DC, FL, GA, IA, IL, IN, LA, MA, MD, ME, MI, MN, MO, NC, ND, NE, NJ, NV, NY, OH, OR, PA, SC, TX, UT, VA, WA, WI. International distribution to Czechia, Italy, Norway.

Quantity

603 cases (2,412 sets)