The Cogent Hemodynamic Monitoring System. REF58400-000, GTIN 00840619099459; REF 58400-000R, GTIN...

FDA Device Recall #Z-1927-2020 — Class II — February 14, 2020

Recall Summary

Recall Number Z-1927-2020
Classification Class II — Moderate risk
Date Initiated February 14, 2020
Status Terminated
Voluntary Voluntary: Firm initiated

Recalling Firm

Firm ICU Medical, Inc.
Location San Clemente, CA
Product Type Devices
Quantity 123 units

Product Description

The Cogent Hemodynamic Monitoring System. REF58400-000, GTIN 00840619099459; REF 58400-000R, GTIN 0087709094314; REF 58403, GTIN 00840619079505; REF 58401, GTIN 00840619079499 - Product Usage: intended for patients for whom the monitoring of continuous cardiac output and calculated hemodynamic parameters is indicated for diagnostic and prognostic evaluation by a clinician. The target population includes Critical Care Patients, Trauma Patients, and Cardiac Surgery Patients.

Reason for Recall

Firm identified software issues which leads to the patient ID and patient information not being stored in the system.

Distribution Pattern

US Nationwide distribution including in the states of AR, CA, FL, IL, MD, NC, NE, NY, TX, VT, WA and WI.

Lot / Code Information

All serial numbers of Cogent HMS, List Number(s): 58400-000; 58400-000R; 58403-000; 58401-000 with Software Versions 1.3.3.42 and prior are impacted.

Other Recalls from ICU Medical, Inc.

Recall # Classification Product Date
Z-1111-2026 Class II Tego Connector: REF: 011-D1000, 01C-D1000, 055-... Dec 19, 2025
Z-1094-2026 Class II Plum Duo Infusion System, List Number 40002-04-01 Dec 15, 2025
Z-1119-2026 Class II ICU Medical Plum Duo Precision IV Pump, List Nu... Dec 15, 2025
Z-1120-2026 Class II ICU Medical Plum Solo Precision IV Pump, List N... Dec 15, 2025
Z-1118-2026 Class II ICU Medical Plum Duo Infusion Pump, List Number... Dec 15, 2025

Frequently Asked Questions

A software recall means the device's embedded software or firmware has a defect that could affect its performance or safety. Many software recalls are corrected through firmware updates that can be applied without physically replacing the device. For implantable devices, the update may be delivered wirelessly during a routine clinic visit. For external devices, the manufacturer may provide updated software files or replacement units. Contact your healthcare provider to determine whether your specific device and software version are affected and what action is recommended.

Class I recalls indicate a reasonable probability of serious adverse health consequences or death from the defect. Class II recalls involve products that may cause temporary or medically reversible adverse health consequences, or where serious consequences are remote. Class III recalls cover products not likely to cause any adverse health consequences, typically involving technical regulatory violations. The classification guides urgency — Class I recalls require immediate action, while Class III may simply involve returning a product or acknowledging a labeling change. Always read the specific recall notice for recommended patient actions.

Report problems with medical devices to the FDA through MedWatch at 1-800-FDA-1088 or online at FDA.gov/safety/medwatch. Healthcare facilities are required by law to report device-related serious injuries and deaths. Patients and consumers can also report voluntarily. Include the device name, manufacturer, model number, and a description of the problem and any patient outcome. Reports from patients and clinicians help the FDA identify emerging safety signals and may trigger investigations that lead to recalls of dangerous devices.

What Should You Do?

Stop using this device if you are affected by this recall. Contact your healthcare provider and the manufacturer immediately for guidance. Report adverse events to FDA MedWatch.