inforMED
MalfunctionCAD

TEC

Received May 5, 2026 · Event occurred Apr 7, 2026

Report 2112667-2026-03009 · MDR key 25084134

Device

Generic name

Vaporizer

Manufacturer

Datex-ohmeda, Inc.

Model number

850 SEV

Catalog number

NA

Lot number

NA

Product problems

  • Insufficient Flow or Under Infusion
  • Output below Specifications

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

A GE HEALTHCARE SERVICE REPRESENTATIVE PERFORMED A CHECKOUT OF THE SYSTEM AND CONFIRMED THE REPORTED ISSUE WAS RELATED TO RECALL NO. Z-0814-2025. 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.

Additional Manufacturer Narrative

GE HEALTHCARE¿S INVESTIGATION INTO THE REPORTED OCCURRENCE IS ONGOING. A FOLLOW-UP REPORT WILL BE ISSUED WHEN THE INVESTIGATION HAS BEEN COMPLETED. BLOCK A: NO REPORT OF PATIENT INVOLVEMENT. LEGAL MANUFACTURER: HCS MADISON - 3030 OHMEDA DR, USA MADISON, WI 53718.

Description of Event or Problem

IT WAS REPORTED THAT THERE WAS A MALFUNCTION DURING PRE-USE CHECKOUT RESULTING IN LOW AGENT OUTPUT. THERE WAS NO PATIENT INVOLVEMENT.

Remedial action

  • Recall