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Recall Observatory FDA recall evidence

Device product

Mindray BeneVision Distributed Monitoring System (DMS), Part No. 115-034413-00

Z-0170-2019

August 30, 2018

Class II

Product summary

Firm
Mindray DS USA, Inc. dba Mindray North America
Event
Event 81084
Status
Terminated
Classification
Class II
Quantity
5
Official record key
device-enforcement:Z-0170-2019

Official wording

Reason: The firm has identified performance anomalies with the device caused when more than 64 TD60 telemetry transmitters have been connected to a central station. The anomaly causes some ECG waveforms to appear as a flat line at the centralized viewing station and will manifest if more than 64 TD60 transmitters have been connected to a given central station server. Each central station supports only 32 transmitters at a time. For the issue to manifest, the BeneVision DMS needs to be configured to use flexible device assignment, have more than 64 TD60 transmitters, and the workflow must allow 64 TD60s to move around between multiple central stations in the same care area.

Code information: This potential issue affects BeneVision DMS with software version 03.01.00 to 03.03.00

Distribution pattern: Distributed to accounts in CA, CO, FL, MA, NY, PA, PR, TX, and WV.

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

    The firm has identified performance anomalies with the device caused when more than 64 TD60 telemetry transmitters have been connected to a central station. The anomaly causes some ECG waveforms to appear as a flat line at the centralized viewing station and will manifest if more than 64 TD60 transmitters have been connected to a given central station server. Each central station supports only 32 transmitters at a time. For the issue to manifest, the BeneVision DMS needs to be configured to use flexible device assignment, have more than 64 TD60 transmitters, and the workflow must allow 64 TD60s to move around between multiple central stations in the same care area.