Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0714-2014Class II

Draeger Infinity Acute Care System Monitoring Solution

Draeger Medical Systems, Inc. / initiated 2013-12-10 / Terminated / root cause: software

Draeger Medical Systems, Inc. began a recall of Draeger Infinity Acute Care System Monitoring Solution on . FDA classified it as Class II and gives the reason as "After a test in which a low SpO2 (yellow) medium grade alarm initiated in neo-natal mode and was subsequently paused, the high grade life threatening SpO2 alarm (red) did not activate when the SpO2 values were decreased...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-0714-2014
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Draeger Medical Systems, Inc.
Product
Draeger Infinity Acute Care System Monitoring Solution
Product code
MHX Monitor, Physiological, Patient(With Arrhythmia Detection Or Alarms)
Reason for recall
After a test in which a low SpO2 (yellow) medium grade alarm initiated in neo-natal mode and was subsequently paused, the high grade life threatening SpO2 alarm (red) did not activate when the SpO2 values were decreased to reach the red alarm limit.
Root cause tag
software
FDA root cause
Software design
Action
An Urgent Medical Device Recall Letter, dated December 2013, was sent to Users. Once available Drager will update components of the IACS Monitoring Solution System.
Quantity in commerce
439
Distribution
US Distribution including the states of: MA, NH, IN, CA, TX, NY, OK, and IL.
Product codes and lots
with software versions VG2.0.3 and higher.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0714-2014
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0714-2014Class IITerminatedVoluntary: Firm initiated