BENEVISION CENTRAL MONITORING SYSTEM 115-034413-00

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2018-06-18 for BENEVISION CENTRAL MONITORING SYSTEM 115-034413-00 manufactured by Shenzhen Mindray Bio-medical Electronics Co., Ltd.

Event Text Entries

[111659567] 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).
Patient Sequence No: 1, Text Type: N, H10


[111659568] 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.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3009156722-2018-00007
MDR Report Key7609478
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2018-06-18
Date of Report2018-05-23
Date of Event2018-05-23
Date Facility Aware2018-05-23
Report Date2018-06-18
Date Reported to Mfgr2018-06-18
Date Mfgr Received2018-05-23
Date Added to Maude2018-06-18
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. SERENA CHEN
Manufacturer StreetKEJI 12TH ROAD SOUTH HI-TECH INDUSTRIAL PARK
Manufacturer CitySHENZHEN, NANSHAN 518057
Manufacturer CountryCH
Manufacturer Postal518057
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBENEVISION CENTRAL MONITORING SYSTEM
Generic NameBENEVISION
Product CodeMSX
Date Received2018-06-18
Model NumberBENEVISION CENTRAL MONITORING SYSTEM
Catalog Number115-034413-00
Lot NumberN/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD
Manufacturer Address1203 NANHUAN AVENUE GUANGMING GUANGMING DISTRICT SHENZHEN, GUANGDONG 518106 CH 518106


Patients

Patient NumberTreatmentOutcomeDate
10 2018-06-18

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