FDA Adverse Event Malfunction Summary report: N

BENEVISION CENTRAL MONITORING SYSTEM

MDR report key: 7609478 · Received June 18, 2018

Report

Report Number
3009156722-2018-00007
Event Type
Malfunction
Date Received
June 18, 2018
Date of Event
May 23, 2018
Report Date
May 23, 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
WA, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 0

ECG STRIPS CORRESPONDING TO THE REPORT AT 11:19:38 WERE REVIEWED BUT A DETERMINATION OF THE POSSIBLE BEAT CLASSIFICATION COULD NOT BE MADE AND NO CONCLUSIONS COULD OBTAINED. ECG STRIPS 20 SECONDS PRE AND POST THE TIME ARE NEEDED TO ASSESS BEAT CLASSIFICATION AND IF THE USER ESTABLISHED CRITERIA FOR VENTRICULAR TACHYCARDIA WERE MET, BUT THESE COULD NOT BE PROVIDED BY THE FACILITY. (B)(4). (EXEMPTION #E2015032).

Description of Event or Problem · 0

IT WAS REPORTED THAT ON (B)(6) 2018 THE (B)(6) STATION MAY HAVE FAILED TO PRODUCE AN ALARM; AT 11:19:38 IT WAS REPORTED THAT A VENTRICULAR TACHYCARDIA ALARM WAS EXPECTED BUT NO ALARM WAS GENERATED BY THE SYSTEM. NO PATIENT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
453083 BENEVISION CENTRAL MONITORING SYSTEM BENEVISION MSX SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD BENEVISION CENTRAL MONITORING SYSTEM N/A

Patients

Seq Age Sex Outcome Treatment
1