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Lower risk Medical device recall · FDA · Published February 22, 2021

Mindray BeneVision DMS 1.1.1.1: Device may freeze, stop monitoring patients

Mindray BeneVision Distributed Monitoring System (DMS) with specific software versions may freeze, causing patients to lose monitoring data. Affected units include models 115-051209-00 and 115-034414-00/115-034413-00 with software versions 03.04.00 through 04.04.01.

🇺🇸 FDA recall #Z-1254-2021Medical deviceMindray ›
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Contact the company

Recalling firmMindray DS USA, Inc. dba Mindray North America800 Macarthur Blvd · Mahwah, NJ 07430-2001
✎ GovInfoNow plain-language explainer

Mindray BeneVision Distributed Monitoring System (DMS) units with specific software versions may freeze, causing patients to lose monitoring data. This affects certain models and serial numbers listed in the recall. Read more at govinfonow.com/recall/63255-mindray-benevision-dms-1-1-1-1-device-may-freeze.

Source Summary by GovInfoNow · govinfonow.com/recall/63255-mindray-benevision-dms-1-1-1-1-device-may-freeze · Updated August 19, 2026 · FDA enforcement record: FDA #Z-1254-2021

Cite this page

“Mindray BeneVision DMS 1.1.1.1: Device may freeze, stop monitoring patients.” GovInfoNow, updated August 19, 2026. https://govinfonow.com/recall/63255-mindray-benevision-dms-1-1-1-1-device-may-freeze. Based on FDA recall #Z-1254-2021 (https://api.fda.gov/device/enforcement.json?search=recall_number:%22Z-1254-2021%22&limit=1).

The FDA announced on Feb. 22, 2021, that Mindray DS USA Inc. dba Mindray North America is recalling its BeneVision Distributed Monitoring System due to a hazard where the device may intermittently freeze and stop communicating patient data. The recall affects 1,938 systems distributed nationwide and in Canada.

How to tell if you have it

  • Brand: Mindray
  • Product: BeneVision Distributed Monitoring System (DMS)
  • Part numbers: p/n 115-051209-00, p/n 115-034414-00, and p/n 115-034413-00
  • Software versions: 03.04.00, 04.01.00, 04.03.00, 04.04.00, 04.04.01
  • Units affected: 1,938 systems

The hazard

The BeneVision DMS may intermittently freeze and require a manual reboot after which normal operation resumes. If a freeze occurs, patients monitored on a telemetry transmitter will no longer communicate data to the BeneVision DMS.

Context

GovInfoNow's records show Mindray DS USA Inc. dba Mindray North America has 13 other recalls on record since July 14, 2017. Other recent recalls of similar products include Mindray BeneVision Distributed Monitoring: Audio Failure Risk (Nov. 18, 2025), Mindray Isoflurane V90 Vaporizer Recall (Oct. 20, 2025), and Mindray BeneVision N1 Patient Monitor Recall (Aug. 15, 2025). Other recent recalls of similar products include Philips Patient Information Center iX Software Freezes - Recall (July 31, 2026), Philips PIC iX Essentials Software Freezes: Recall for Patient Data Issues (July 31, 2026), and Philips Telemetry Monitor 5500 1.4 GHz Recall: Risk of Device Reset Causing Connection Failure (June 5, 2026).

How to tell if you have this one

Check for model numbers 115-051209-00 or 115-034414-00/115-034413-00 with software versions 03.04.00 through 04.04.01. Affected units have specific serial numbers listed in the recall.

  • Brand
    Mindray
  • Category
    Medical device
Based on the official FDA remedy

What to do — step by step

  1. Check Software Version

    Verify the software version on your device; affected units use software versions 03.04.00 through 04.04.01.

  2. Update Software

    Update to a newer software version if available to prevent freezing issues.

Where it went and when

Where it was distributed

Distributed nationwide, and outside the U.S.

Alaska: yesAKMaine: yesMEVermont: yesVTNew Hampshire: yesNHWashington: yesWAIdaho: yesIDMontana: yesMTNorth Dakota: yesNDMinnesota: yesMNIllinois: yesILWisconsin: yesWIMichigan: yesMINew York: yesNYRhode Island: yesRIMassachusetts: yesMAOregon: yesORNevada: yesNVWyoming: yesWYSouth Dakota: yesSDIowa: yesIAIndiana: yesINOhio: yesOHPennsylvania: yesPANew Jersey: yesNJConnecticut: yesCTCalifornia: yesCAUtah: yesUTColorado: yesCONebraska: yesNEMissouri: yesMOKentucky: yesKYWest Virginia: yesWVVirginia: yesVAMaryland: yesMDDelaware: yesDEArizona: yesAZNew Mexico: yesNMKansas: yesKSArkansas: yesARTennessee: yesTNNorth Carolina: yesNCSouth Carolina: yesSCDistrict of Columbia: yesDCOklahoma: yesOKLouisiana: yesLAMississippi: yesMSAlabama: yesALGeorgia: yesGAHawaii: yesHITexas: yesTXFlorida: yesFL

FDA distribution: “Nationwide Canada” States read from FDA’s own wording; “not listed” means the notice does not name it.

Distributed nationwide, and outside the U.S.

Recall timeline

FDA published this recall 30 days after the firm started it.

1. Firm started the recall: Feb 22, 202112. FDA classified it Class II: Mar 15, 202123. Published in FDA’s Enforcement Report: Mar 24, 202132021
  1. Firm started the recall
  2. FDA classified it Class II
  3. Published in FDA’s Enforcement Report

Dates from the agency record only; steps without a date are left out.

✎ GovInfoNow

Questions people ask

Do I need to stop using the device immediately?

No, the device can continue to be used after updating software to prevent freezing.

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Where this comes from

The facts (hazard, remedy, dates, manufacturer) are pulled from the official FDA recall record. The plain-language summary and step-by-step checklist are written by GovInfoNow to make the official notice easier to act on — they don’t replace it.

  • Official source: FDA Recall #Z-1254-2021 (February 22, 2021) — FDA publishes no per-recall page; this is the official machine-readable enforcement record. Search FDA recalls for Z-1254-2021 to see it in context.
  • Plain-language summary written by qwen3:4b on August 19, 2026, from the official record above. Not reviewed by a person — if it conflicts with the FDA notice, the notice is correct. Report an error on this page.
  • GovInfoNow is an independent service and is not a government agency. We republish official FDA recall data; we don’t issue, amend or administer recalls.
GovInfoNow is an independent guide. We are not FDA or any government agency. Always confirm details with the official recall.Data: CPSC · FDA · NHTSA · USDA