Stop using nowMedical device recall · FDA · Published July 22, 2024
Mindray Sevoflurane E_Vap Safety Filling Adapter Recall: Risk of High Anesthetic Output
Mindray recalls Sevoflurane E_Vap Safety Filling Adapters for A9 Anesthesia Systems due to potential high anesthetic output causing patient drowsiness or neurological issues. Affected units have specific serial numbers.
V90 electronic vaporizer anesthetic agent output may be higher than the set amount due to a component within the vaporizer causing an incomplete seal in some cases. Should this issue occur, the A9 Anesthesia System will generate alarms associated with abnormal vaporizer output. If the anesthetic concentration is too high, the patient can inhale too much anesthetic agent; the patient may suffer from symptoms such as vertigo and drowsiness after the operation. In severe cases, the patient may suffer from neurological sequelae such as hypomnesia and inattention
Take action
Contact the company
📍Recalling firmMindray DS USA, Inc. dba Mindray North America800 Macarthur Blvd · Mahwah, NJ 07430-2001
✎ GovInfoNow plain-language explainer
Mindray is recalling Sevoflurane E_Vap Safety Filling Adapters used with A9 Anesthesia Systems. The adapters may cause higher anesthetic output than set, leading to patient drowsiness or neurological problems after surgery. This is serious enough to require immediate action. Read more at govinfonow.com/recall/54581-mindray-sevoflurane-e-vap-safety-filling-adapter-recall-risk-of.
“Mindray Sevoflurane E_Vap Safety Filling Adapter Recall: Risk of High Anesthetic Output.” GovInfoNow, updated August 19, 2026. https://govinfonow.com/recall/54581-mindray-sevoflurane-e-vap-safety-filling-adapter-recall-risk-of. Based on FDA recall #Z-2950-2024 (https://api.fda.gov/device/enforcement.json?search=recall_number:%22Z-2950-2024%22&limit=1).
The FDA announced on July 22, 2024, that Mindray DS USA, Inc. dba Mindray North America is recalling the Sevoflurane E_Vap.(Safety Filling adapter) used with the A9 Anesthesia System due to a potential component failure. The hazard involves an incomplete seal causing higher-than-set anesthetic output, which may lead to patient symptoms such as vertigo, drowsiness, or neurological sequelae.
How to tell if you have it
Brand: Mindray
Product: Sevoflurane E_Vap.(Safety Filling adapter) used with the A9 Anesthesia System
Distribution: US (California, Georgia, Kentucky, Mississippi, New Jersey, Puerto Rico, Texas, West Virginia) and International (Canada)
The hazard
According to the FDA, the V90 electronic vaporizer anesthetic agent output may be higher than the set amount due to a component causing an incomplete seal. If this occurs, the A9 Anesthesia System will generate alarms associated with abnormal vaporizer output. Patients inhaling too much anesthetic agent may suffer from symptoms such as vertigo and drowsiness after the operation, or in severe cases, neurological sequelae such as hypomnesia and inattention.
Context
GovInfoNow's records show Mindray DS USA, Inc. dba Mindray North America has 13 other recalls on record since July 14, 2017. Other recent recalls of similar products include the Mindray Isoflurane V90 Vaporizer Recall (Oct. 20, 2025) and the Mindray BeneVision N1 Patient Monitor Recall (Aug. 15, 2025). Other recent recalls of similar products include the Draeger Vapor 3000 Anesthetic Vaporizer Recall (Nov. 24, 2025), the Draeger Vapor 2000 Anesthetic Vaporizer Recall (Nov. 24, 2025), and the B Braun Anesthesia IV Set Recall (Oct. 29, 2025).
How to tell if you have this one
Check for serial numbers: AH6A28000471, AH6A24000202, AH6A28000474, AH6A27000378, AH6A28000466, AH6A24000195, AH6A28000457, AH6A25000237, AH6A28000426, AH6A24000199, AH6A24000207. The product is used with the A9 Anesthesia System.
Brand
Mindray
Category
Medical device
FDA recall event · 4 products
All 4 products in this recall
FDA lists each product line separately under one recall event. Check your product description, lot or code numbers against each row. Every row shares the hazard and remedy on this page.
Classification
Class II
Status
Ongoing
Distribution
US Distribution to states of: California, Georgia, Kentucky, Mississippi, New Jersey, Puerto Rico, Texas, and West Virginia; and International (Foreign) to: Canada
Recall number
Product, codes & lots
Quantity
Z-2949-2024
Sevoflurane E_Vap.(Quik-Fil):used with the A9 Anesthesia System-Used to provide the vapor of an anesthetic agent with controllable concentration to an A9 anesthesia system. Part Number 115-066755-00; UDI-DI: 06936415975784 Serial Number: AH6D28000517, AH6D28000518
2 units
Z-2950-2024
Sevoflurane E_Vap.(Safety Filling adapter) used with the A9 Anesthesia System-Used to provide the vapor of an anesthetic agent with controllable concentration to an A9 anesthesia system. Part Number: 115-066756-00; UDI-DI: 06936415975777 Serial Number: AH6A28000471 AH6A24000202 AH6A28000474 AH6A27000378 AH6A28000466 AH6A24000195 AH6A28000457 AH6A25000237 AH6A28000426 AH6A24000199 AH6A24000207
96 units
Z-2951-2024
Isoflurane E_Vap.(Safety Filling adapter): used with the A9 Anesthesia System-Used to provide the vapor of an anesthetic agent with controllable concentration to an A9 anesthesia system. Part Number: Part Number 115-066758-00; UDI-DI: 06936415975753 Serial Number: AH6B24000165 AH6B24000170 AH6B24000167 AH6B24000163 AH6B24000166 AH6B24000173 AH6B24000174 AH6B24000183
24 units
Z-2952-2024
Desflurane E_Vap.(Saf-T-Fill) used with the A9 Anesthesia System-Used to provide the vapor of an anesthetic agent with controllable concentration to an A9 anesthesia system. Part Number: Part Number115-066759-00; UDI-DI:06936415975760 Serial Number: AH6C25000263 AH6C25000255 AH6C27000355 AH6C27000346 AH6C27000371 AH6C25000256 AH6C25000296 AH6C25000290 AH6C27000361 AH6C25000254 AH6C25000254 AH6C25000271 AH6C25000298 AH6C25000299 AH6C25000300 AH6C25000301 AH6C25000302 AH6C27000339 AH6C27000343 AH6C27000344 AH6C27000347 AH6C27000348 AH6C27000350 AH6C27000352 AH6C27000354 AH6C27000358 AH6C27000359 AH6C27000363 AH6C27000364 AH6C27000366 AH6C27000410 AH6C27000411 AH6C28000444 AH6C28000447 AH6C28000448 AH6C28000449 AH6C28000450 AH6C28000454
96 units
Based on the official FDA remedy
What to do — step by step
Stop Using Now
Immediately stop using the recalled Sevoflurane E_Vap Safety Filling Adapter with the A9 Anesthesia System.
Where it went and when
Where it was distributed
Distributed in 7 states and Puerto Rico, and outside the U.S.
Listed by the agency
Not listed
FDA distribution: “US Distribution to states of: California, Georgia, Kentucky, Mississippi, New Jersey, Puerto Rico, Texas, and West Virginia; and International (Foreign) to: Canada” States read from FDA’s own wording; “not listed” means the notice does not name it.
States: California, Georgia, Kentucky, Mississippi, New Jersey, Puerto Rico, Texas, West Virginia.
Recall timeline
FDA published this recall 51 days after the firm started it.
1Firm started the recall
2FDA classified it Class II
3Published in FDA’s Enforcement Report
Dates from the agency record only; steps without a date are left out.
The facts (hazard, remedy, dates, manufacturer) are pulled from the official FDA recall record. The plain-language summary and step-by-step checklist are written by GovInfoNow to make the official notice easier to act on — they don’t replace it.
Official source: FDA Recall #Z-2950-2024 (July 22, 2024) — FDA publishes no per-recall page; this is the official machine-readable enforcement record. Search FDA recalls for Z-2950-2024 to see it in context.
Plain-language summary written by qwen3:4b on August 19, 2026, from the official record above. Not reviewed by a person — if it conflicts with the FDA notice, the notice is correct. Report an error on this page.
GovInfoNow is an independent service and is not a government agency. We republish official FDA recall data; we don’t issue, amend or administer recalls.