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 |