FDA Adverse Event Malfunction Summary report: N

TEC

MDR report key: 21613664 · Received March 15, 2025

Report

Report Number
2112667-2025-02024
Event Type
Malfunction
Date Received
March 15, 2025
Date of Event
February 19, 2025
Report Date
May 27, 2025
Manufacturer
DATEX-OHMEDA, INC.
Product Code
CAD
UDI-DI
00840682124737
PMA / PMN Number
K172702
Removal / Correction Number
Z-0814-2025
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

GE HEALTHCARE (GEHC) REPORTED A FIELD MODIFICATION FOR REDUCED CONCENTRATION DELIVERY OF ANESTHETIC AGENT PER 21 CFR 806 ON 27-NOV-2024. THE FDA RECALL NUMBER IS (RECALL NO. Z-0814-2025). CUSTOMERS WERE SENT A LETTER EXPLAINING THE ISSUE AND INSTRUCTIONS FOR INSPECTING FOR CORRECT OUTPUT CONCENTRATION. GEHC WILL REPLACE ALL AFFECTED UNITS. BLOCK A: NO REPORT OF PATIENT INVOLVEMENT. LEGAL MANUFACTURER: HCS MADISON - 3030 OHMEDA DR, USA MADISON, WI 53718.

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP MDR CORRECTION IS BEING SUBMITTED TO CORRECT THE H6 CLINICAL CODE. THE INITIAL MDR INDICATE CODE E232401: GASTROINTESTINAL SYSTEM: INCONTINENCE: FECAL INCONTINENCE. THE CORRECT CODE HAS BEEN CHANGED TO E2403: OTHERS: NO CLINICAL SIGNS, SYMPTOMS OR CONDITIONS.

Description of Event or Problem · 0

AS A RESULT OF AN INSPECTION THAT WAS COMPLETED AS PART OF THE CORRECTION AND REMOVAL INITIATED BY GE HEALTHCARE (GEHC) ON 27-NOV-2024, (RECALL NO. Z-0814-2025) THIS UNIT WAS IDENTIFIED AS HAVING AN ISSUE WITH REDUCED CONCENTRATION DELIVERY OF ANESTHETIC AGENT. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
900473 TEC VAPORIZER CAD DATEX-OHMEDA, INC. 850 SEV NA 00840682124737

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown