BENEVISION CENTRAL MONITORING SYSTEM 300DE-PA00004

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,distri report with the FDA on 2017-05-10 for BENEVISION CENTRAL MONITORING SYSTEM 300DE-PA00004 manufactured by Shenzhen Mindray Bio-medical Electronics Co., Ltd.

Event Text Entries

[74891015] The company representative evaluated they system and observed that after rebooting the central station that the unit generated an error that required the replacement of the hard drive, therefore the technician was unable to obtain additional logs directly from the system. The hard drive was replaced and the system was tested to factory specification. The tel-200 involved in the report was tested and function per specifications. Full disclosure logs from the time of the reported event were provided by the customer and the two reported issues were investigated: 1) missed low heart rate and asystole alarm. 2) unit not storing full disclosure reports on day post the report. Upon review of the full disclosure logs it was noted that the system called asystole and numerous low heart rate alarms at the time of the report. In addition, it was recorded in the logs that the user acknowledged these alarms including the asystole alarm. Additionally, it was noted that user discharged the patient and elected not to store the patient data on discharge, therefore no full disclosure were stored after patient discharge. In conclusion, the central station functioned per specifications at the time of the reported event, there was no device malfunction. The hard drive failure reported during the systems evaluation is unrelated to the original report. No information related to the patient or to the patient final outcome is available. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[74891016] The customer reported that a patient admitted on a tele-200 transmitter experienced a drop in heart rate and went into asystole at 10:46am and 10:52am but no audible low heart rate alarm and no asystole alarm was emitted by the central station. The customer reported they were able to obtain the full disclosure logs from the time of the event but on the following day, they were unable to retrieve any additional full disclosure data.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3009156722-2017-00012
MDR Report Key6559380
Report SourceCOMPANY REPRESENTATIVE,DISTRI
Date Received2017-05-10
Date of Report2017-04-10
Date of Event2017-04-10
Date Facility Aware2017-04-10
Report Date2017-04-10
Date Reported to Mfgr2017-04-10
Date Mfgr Received2017-04-10
Date Added to Maude2017-05-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. SERENA CHEN
Manufacturer Street2# BUILDING, PLANT A SHIGUANG SHANGCUN COMMUNITY, GONGMING,
Manufacturer CitySHENZHEN, 518056
Manufacturer CountryCH
Manufacturer Postal518056
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBENEVISION CENTRAL MONITORING SYSTEM
Generic NameBENEVISION
Product CodeMSX
Date Received2017-05-10
Model NumberBENEVISION CENTRAL MONITORING SYSTEM
Catalog Number300DE-PA00004
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD
Manufacturer Address2# BUILDING, PLANT A SHIGUANG SHANGCUN COMMUNITY, GONGMING, SHENZHEN, 518056 CH 518056


Patients

Patient NumberTreatmentOutcomeDate
10 2017-05-10

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