The Recall Desk
HighFDA (Devices)·Z-1472-2023·Announced 2023-05-03

Draeger Infinity M300 Patient Monitor Software Displays Inaccurate ECG Readings

Draeger Infinity M300/M300+ patient monitoring systems may display or print ECG waveforms with inaccurate QRS amplitudes due to software peaks being dropped on narrow waveforms.

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: FDA Class II recall with no reported illnesses or injuries. The software defect causes ECG waveforms to display with inaccurate amplitudes, which represents a risk of harm in a critical patient monitoring device where injury has not yet been reported.

Plain-English summary

Draeger Medical Systems is recalling approximately 19,429 Draeger Infinity M300 and M300+ patient monitoring systems that were distributed worldwide with US nationwide availability. These systems are used with the Infinity ICS to monitor ECG and pulse oximetry on ambulatory and non-ambulatory adult and pediatric patients.

The software on the Infinity CentralStation (running software versions VG2.4 and lower) has a defect where it drops peaks on narrow waveforms. This causes the affected systems to fail to meet Frequency and Impulse Response requirements.

As a result, ECG waveforms with narrow and/or high frequency QRS complexes may be displayed or printed with QRS amplitudes that are intermittently lower than the actual patient values. This measurement inaccuracy could potentially affect clinical assessment and patient care decisions based on the ECG data.

The recalled product

Product
Draeger Infinity M300 and M300+, for use with the ICS to monitor ECG and pulse oximetry on ambulatory and non-ambulatory adult and pediatric patients using wireless communication over the Infinity patient monitoring network,
Manufacturer
Draeger Medical Systems, Inc.
Hazard
  • ecg-amplitude-error
  • measurement-error

Is your product affected?

Check your packaging against the codes below. If any of them match, the product is part of this recall.

Lot numbers (3)

  • UDI-DI: 04049098048989 (M300)
  • 04049098095778 (M300+)
  • All Systems Running Software versions: VG2.4 and lower

Distribution

Distributed nationwide across the United States.