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Priority review Notice Amended Final

Health Canada Recalls GEM PAKs for GEM Premier 5000 Due to Errors

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Summary

Health Canada has issued a recall for GEM PAKs used with the GEM Premier 5000 due to an increased incidence of 'Process Control Solution Not Detected' errors. These errors can lead to GEM PAK ejection and require replacement, potentially delaying patient management.

Published by Health Canada on recalls-rappels.canada.ca . Detected, standardized, and enriched by GovPing. Review our methodology and editorial standards .

What changed

Health Canada is recalling specific GEM PAKs for the GEM Premier 5000 diagnostic instrument due to a higher-than-expected rate of 'Process Control Solution Not Detected' (PCSND) errors. These errors can cause GEM PAK ejection, necessitating the insertion of a new cartridge. While the iQM2 quality control program may allow some affected GEM PAKs to remain in use if they pass validation, consecutive ejections can disrupt operations and potentially delay patient management.

Healthcare providers using the affected GEM PAKs should contact Werfen Technical Support for additional information. While many GEM PAKs function correctly, the potential for operational disruption means that advance planning may be necessary to minimize iQM2 impacts. The recall highlights the importance of monitoring device performance and having contingency plans for potential delays in patient care.

What to do next

  1. Contact manufacturer for additional information regarding affected lots and serial numbers.
  2. Assess potential impact of PCSND errors on patient management turnaround times.
  3. Develop contingency plans for potential operational disruptions due to GEM PAK ejection.

Archived snapshot

Mar 17, 2026

GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.

Health product recall

GEM PAKs for the GEM Premier 5000 with iQM2

Brand(s)

INSTRUMENTATION LABORATORY CO.

Last updated

2026-03-17

Summary

Product GEM PAKs for the GEM Premier 5000 with iQM2 Issue Medical devices - Performance What to do Contact the manufacturer if you require additional information.

CONTACT WERFEN TECHNICAL SUPPORT AT 1-800-678-0710

Audience Healthcare

Affected products

Affected products Lot or serial number Model or catalogue number
Gem Premier 5000 Pak Ph, Pco2, Po2, Hct, Thb, O2hb, Cohb, Methb, Hhb, So2 More than 10 numbers, contact manufacturer. 00055415004
Gem Premier 5000 Pak Ph, Pco2, Po2, Hct, Thb, O2hb, Cohb, Methb, Hhb, So2 More than 10 numbers, contact manufacturer. 00055430004
Gem Premier 5000 Pak Ph, Pco2, Po2, Hct, Thb, O2hb, Cohb, Methb, Hhb, So2 More than 10 numbers, contact manufacturer. 00055445004
Gem Premier 5000 Pak Ph, Pco2, Po2, Na+, K+, Cl-, Ca++, Glucose, Lactate, Hct, Tbili, Thb, O2hb, Cohb, Methb, Hhb, So2 More than 10 numbers, contact manufacturer. 00055430011
Gem Premier 5000 Pak Ph, Pco2, Po2, Na+, K+, Cl-, Ca++, Glucose, Lactate, Hct, Tbili, Thb, O2hb, Cohb, Methb, Hhb, So2 More than 10 numbers, contact manufacturer. 00055415011
Gem Premier 5000 Pak Ph, Pco2, Po2, Na+, K+, Cl-, Ca++, Hct, Thb, O2hb, Cohb, Methb, Hhb, So2 More than 10 numbers, contact manufacturer. 00055360008
Gem Premier 5000 Pak Ph, Pco2, Po2, Na+, K+, Cl-, Ca++, Hct, Thb, O2hb, Cohb, Methb, Hhb, So2 More than 10 numbers, contact manufacturer. 00055407508
Gem Premier 5000 Pak Ph, Pco2, Po2, Na+, K+, Cl-, Ca++, Hct, Thb, O2hb, Cohb, Methb, Hhb, So2 More than 10 numbers, contact manufacturer. 00055415008
Gem Premier 5000 Pak Ph, Pco2, Po2, Na+, K+, Cl-, Ca++, Hct, Thb, O2hb, Cohb, Methb, Hhb, So2 More than 10 numbers, contact manufacturer. 00055445008
Gem Premier 5000 Pak Ph, Pco2, Po2, Na+, K+, Cl-, Ca++, Hct, Thb, O2hb, Cohb, Methb, Hhb, So2 More than 10 numbers, contact manufacturer. 00055430008
Gem Premier 5000 Pak Ph, Pco2, Po2, Na+, K+, Cl-, Ca++, Glucose, Lactate, Hct, Thb, O2hb, Cohb, Methb, Hhb, So2 More than 10 numbers, contact manufacturer. 00055415010
Gem Premier 5000 Pak Ph, Pco2, Po2, Na+, K+, Cl-, Ca++, Glucose, Lactate, Hct, Thb, O2hb, Cohb, Methb, Hhb, So2 More than 10 numbers, contact manufacturer. 00055430010
Gem Premier 5000 Pak Ph, Pco2, Po2, Na+, K+, Cl-, Ca++, Glucose, Lactate, Hct, Thb, O2hb, Cohb, Methb, Hhb, So2 More than 10 numbers, contact manufacturer. 00055407510
Gem Premier 5000 Pak Ph, Pco2, Po2, Na+, K+, Cl-, Ca++, Glucose, Lactate, Hct, Thb, O2hb, Cohb, Methb, Hhb, So2 More than 10 numbers, contact manufacturer. 00055360010
Gem Premier 5000 Pak Ph, Pco2, Po2, Na+, K+, Cl-, Ca++, Glucose, Lactate, Hct, Thb, O2hb, Cohb, Methb, Hhb, So2 More than 10 numbers, contact manufacturer. 00055445010

Issue

The company confirmed customer complaints indicating that specific 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 appropriate patient management. In such cases, patient management may require reassessment once results are available. While many GEM PAK s 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.

Additional information

Details

Original published date:

2026-03-17

Alert / recall type Health product recall Category Health products - Medical devices - Chemistry Companies Instrumentation Laboratory Co.

180 Hartwell Road, Bedford, Massachusetts, United States, 01730-2443

Published by Health Canada Audience Healthcare Recall class Type II Recall date

2026-02-25

Identification number RA-81732

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Last updated

Classification

Agency
Health Canada
Instrument
Notice
Legal weight
Non-binding
Stage
Final
Change scope
Substantive

Who this affects

Applies to
Healthcare providers
Geographic scope
National (Canada) National (Canada)

Taxonomy

Primary area
Healthcare
Operational domain
Clinical Operations
Topics
Medical Devices Product Safety

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