The Recall Desk
HighFDA (Devices)·Z-0798-2013·Announced 2013-02-20

Mindray DPM Central Monitoring System Recalled for ECG Waveform Anomaly

Mindray is recalling 51 DPM Central Monitoring Systems because a software anomaly may display a step pattern instead of a flat line during asystole.

What this means for you

Real risk of harm even if no illness or injury has been reported yet. Stop using the product and follow the agency's guidance.

Our severity reasoning: The recall is classified as FDA Class II, and the hazard involves a medical device that monitors critical cardiac data. While no injuries are reported, the potential for misinterpretation of asystole constitutes a risk of harm.

Plain-English summary

Mindray DS USA, Inc. is recalling 51 units of the DPM Central Monitoring System with ambulatory Telepack. The affected units include specific part numbers 300BF-PA00002 and 300BF-PA00003, as well as DPM software upgrade kits with part numbers 115-006908-01, -03, and -04. The devices were distributed nationwide.

The recall was initiated due to a software anomaly. In the presence of an asystole, the Telepack ECG waveform may produce a unique step pattern instead of a flat line if Lead 1 or V is being utilized for detecting cardiac arrhythmia. This display error could potentially affect the visual interpretation of the patient's cardiac status.

Healthcare facilities and users should check their inventory for the specific part and serial numbers listed in the recall notice. Mindray has identified the issue and is managing the recall to address the software defect.

The recalled product

Product
Mindray DS USA, Inc., DPM Central Monitoring System with ambulatory Telepack. Part numbers: 300BF-PA00002, and 300BF-PA00003 (DPM Central Monitoring System) 115-006908-01, -03, -04 (DPM software upgrade kit). The DPM Central Monitoring System transfers information between DPM Cen
Affected units
51

Distribution

Distributed nationwide across the United States.

Same manufacturer · Mindray DS USA, Inc. d.b.a. Mindray North America

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