—#121105

Product

Tec 6 continuous Flow Vaporizer and Tec 6 Plus Anesthesia Vaporizer. The Datex-Ohmeda Tec 6 Plus and Tec 6 Plus NAD Variant is an electronic vaporizer which delivers the anesthetic agent desflurane. The Tec 6 Plus attaches only to Datex-Ohmeda anesthesia machines equipped with the proprietary Selectatec manifold. The Tec 6 Plus NAD Variant attaches only to NAD anesthesia machines equipped with the NAD exclusion type manifold.

FDA product code: BSZ — Gas-Machine, Anesthesia
Device class: Class 2
Medical specialty: Anesthesiology
510(k) numbers: K000275, K925580
Affected lot / code info: Part Numbers: X1107-9001-000, X1107-9002-000, X1107-9003-000, X1107-9004-000, X1107-9005-000, X1107-9006-000, X1107-9007-000, X1109-9008-000, X1109-9009-000, X1107-9010-000, X1107-9011-000, X1107-9012-000, X1107-9014-000, X1107-9015-000, X1107-9016-000, X1107-9101-000, X1107-9102-000, X1107-9103-000, X1107-9201-000, X1107-9202-000, X1107-9203-000, X1107-9205-000, X1107-9206-000, X1107-9601-000, X1107-9602-000, X1107-9603-000, X1107-9604-000, X1107-9605-000, X1107-9606-000, X1107-9607-000, X1107-9608-000, X1107-9609-000, X1107-9610-000, X1107-9611-000, X1107-9612-000, X1107-9614-000, X1107-9615-000, X1107-9616-000, X1107-9617-000, M1145610-X, M1220023-X, M1220854-X, M1221495-X, 2064455-X, M1243207-X, X1107-9701-000, X1107-9702-000, X1107-9703-000, X1107-9211-000, X1107-9212-000, X1107-9213-000, X1107-9215-000, X1107-9216-000, X1107-9217-000, X1107-9207-000, X1107-9208-000, 2066725-X, 2066835-X, 2069767-X, 1107-9601-000, 1107-9612-000, M1221495, M1220023, M1243207, 1107-9602-000, 1107-9603-000, 1107-9604-000, 1107-9605-000, 1107-9606-000, 1107-9607-000, 1107-9608-000, 1107-9609-000, 1107-9610-000, 1107-9611-000, 1107-9614-000, 1107-9615-000, 1107-9616-000, 1107-9617-000, M1145610, M1220854, 2064455-001, M1098876, 2066725-001, 2066835-001, 2069767-001, X1107-8003-000, X1107-8006-000, X1107-8007-000, X1107-8008-000, X1107-8012-000, X1107-8013-000, X1107-8014-000, X1107-8015-000, X1107-8016-000, X1107-8017-000, X1107-8018-000, X1107-8019-000

Why it was recalled

GE Healthcare has recently become aware of a potential safety issue involving the pre-operative check, low pressure leak test at 1% dial setting of the Tec 6 and Tec 6 Plus Vaporizers. The user manual pre-operative check, low pressure leak test may not detect the full range of leaks from seal wear degradation in the vaporizers. If the leak is not detected, it will result in fresh gas leaking to

Root cause (FDA determination)

Component change control

Action the firm took

GE Healthcare sent an Urgent Medical Device Correction letter dated August 1, 2013, to all affected customers. The letter described the issue, asked that the Tec 6 and Tec 6 Plus Vaporizers user manual be updated with the attached addendum. Also Users are to perform the user manual recommended pre-operative check which includes the low pressure leak test on every vaporizer with the dial turned to the 12% setting instead of the specified 1% setting as per the attached addendum. If the device does not pass the new low pressure leak at 12%, it should be removed from service and consignee should ontact a GE Healthcare Representative for a repair/replacement. If the vaporizer passes the new low pressure leak test at the 12 % setting, it can continue to be used, however, as detailed in the user manual, continue to routinely perform the pre-operative check which includes the low pressure leak test.A Medical Device Correction Confirmation form was asked to be sent back to GE. Customers with questions or concerns were instructed to call 1-855-700-4350 or send an email to vaporizer.admin@ge.com. For countries outside the US, customers were instructed to contact their local GE Healthcare Service Representative. For questions regarding this recall call 262-513-4122.

Recalling firm

Firm: GE Healthcare, LLC
Address: 3000 N Grandview Blvd, Waukesha, Wisconsin 53188-1615

Distribution

Distribution pattern: Worldwide Distribution - USA (nationwide) Puerto Rico and internationally to AUSTRALIA, AUSTRIA, BAHAMAS, BAHRAIN, BELGIUM, BOLIVIA, BRAZIL, CANADA, CHILE, CHINA, COSTA RICA, CROATIA local name-Hrvatska, CYPRUS, DENMARK, ECUADOR, FRANCE, GERMANY, GREECE, HONG KONG, INDIA, IRELAND, ISRAEL, ITALY, JORDAN, KOREA-REPUBLIC OF, KUWAIT, LITHUANIA, MALAYSIA, MALTA, MEXICO, NETHERLANDS, NEW ZEALAND, NORWAY, OMAN, PAKISTAN, POLAND, PORTUGAL, QATAR, RUSSIAN FEDERATION, SAUDI ARABIA, SINGAPORE, SOUTH AFRICA, SPAIN, SWITZERLAND, TAIWAN, THAILAND, TURKEY, UNITED ARAB EMIRATES, UNITED KINGDOM, and VENEZUELA,

Timeline

Recall initiated: 2013-07-29
Posted by FDA: 2013-09-06
Terminated: 2015-04-17
Status: —

Source: openFDA Device Recall endpoint. Recall record ID #121105. The FDA issues recall classifications as health-hazard assessments, not legal findings; for legal claims consult a licensed attorney.