FDA Adverse Event Malfunction Summary report: N

BENEVISION CENTRAL MONITORING SYSTEM

MDR report key: 7576120 · Received June 6, 2018

Report

Report Number
3009156722-2018-00005
Event Type
Malfunction
Date Received
June 6, 2018
Date of Event
March 23, 2018
Report Date
May 11, 2018
Manufacturer
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD
Product Code
MSX
PMA / PMN Number
K162607
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MT, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 0

MINDRAY FIELD SERVICE REPRESENTATIVE VISITED THE SITE AND COLLECTED ERROR LOST FROM MULTIPLE SYSTEMS. AN EVALUATION IS UNDERWAY, HOWEVER, IT IS NOTED THAT THE SITE WAS UNABLE TO PROVIDE SPECIFIC INFORMATION ABOUT THE TIME OF THE EVENT, THE SYSTEM INVOLVED OR OTHER EVIDENCE OF THE EVENT SUCH AS ECG STRIPS. (B)(4). (EXEMPTION #E2015032).

Description of Event or Problem · 0

THE CUSTOMER REPORTED THAT CENTRAL MONITOR SYSTEM FAILED TO ALARM WHEN A PATIENT EXPERIENCED A RUN OF VENTRICULAR RHYTHM. SOURCE OF THE REPORT: MW5076872. NO PATIENT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
416852 BENEVISION CENTRAL MONITORING SYSTEM BENEVISION MSX SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD BENEVISION CENTRAL MONITORING SYSTEM

Patients

Seq Age Sex Outcome Treatment
1