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 |