Medical Device
Manufacturing
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Z-1812-2016Class II

Draeger D-Vapor/ D-Vapor 3000 Vaporizers with Baxter Desflurane Agent and Bottles. Catalog # M35500 (D-Vapor)...

Draeger, Inc. / initiated 2016-04-21 / Terminated

Draeger Medical, Inc. began a recall of Draeger D-Vapor/ D-Vapor 3000 Vaporizers with Baxter Desflurane Agent and Bottles. Catalog # M35500 (D-Vapor) and M36700 (D-Vapor 3000). Anesthesia Vaporizer on . FDA classified it as Class II and gives the reason as "Operators noticed unwanted release of evaporating anesthetic agent at the end of the filling procedure. Eye contact with volatile anesthetics can result in serious irritation. Immediate eye flushing and consultation of...". As of , the recall status on record is Terminated.

Recall record

Recall number
Z-1812-2016
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Draeger, Inc.
Product
Draeger D-Vapor/ D-Vapor 3000 Vaporizers with Baxter Desflurane Agent and Bottles. Catalog # M35500 (D-Vapor) and M36700 (D-Vapor 3000). Anesthesia Vaporizer
Product code
CAD Vaporizer, Anesthesia, Non-Heated
Reason for recall
Operators noticed unwanted release of evaporating anesthetic agent at the end of the filling procedure. Eye contact with volatile anesthetics can result in serious irritation. Immediate eye flushing and consultation of a physician is recommended. Updated Material Safety Data Sheets (MSDS) for Desflurane recommend wearing safety glasses when handling these substances.
FDA root cause
Process change control
Action
Drager mailed a "Medical Device Safety Alert" dated April 21, 2016, to customers informing them of the problem and provided instructions for the "correct filling procedure" and recommendations on how to prevent evaporation and spraying of Desflurane after bottle release to resolve the "High Friction of gas bottle valve" problem.
Quantity in commerce
16078 units distributed within the United States
Distribution
US nationwide distribution, including Puerto Rico and Guam.
Product codes and lots
Catolog Number M35500 (D-Vapor) M36700 (D-Vapor 3000) Distributed October 2004 April 2016

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1812-2016
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1812-2016Class IITerminatedVoluntary: Firm initiated