The Infinity Acute Care System (IACS) Monitoring Solution with the Standalone Infinity M540 patient monitor. Model nos. MS25510, MS25520, MS26372.
FDA Recall Z-0258-2020 · Posted 2019-10-31
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Recalling FirmDraegar Medical Systems, Inc.
Recall StatusOpen, Classified
Product CodeMHX
Date Initiated2019-09-13
Product Quantity5634
Reason for Recall
Cybersecurity vulnerabilities may cause device to reboot, lose alarm functionality, and/or lose communication with cockpit and/or the Infinity Network.
Firm Action
On September 13, 2019, the firm distributed Urgent Medical Device Recall letters to customers. Customers were informed of the cybersecurity vulnerabilities, which can include Distributed Denial of Service (DDOS) (packet storm), Spoofing, and Tampering.
To mitigate the cybersecurity concerns, Draeger will be releasing software version VG4.2 for both the Cockpit and the M540, which will correct these cybersecurity vulnerabilities. The software is expected to be released for distribution in December 2019. Upgrades of the IACS systems will commence in January 2020.
While the firm is in the process of updating the software, customers are asked to limit access to the Infinity Network by following these security recommendations:
1. Physical security of the patient monitors is recommended and is the responsibility of the
operating organization.
2. Physical security of the telecommunications closet is recommended and is the responsibility
of the operating organization.
3. Draeger recommends that operating organizations restrict physical access to unused Ethernet
ports on the IACS.
4. Draeger recommends that operating organizations restrict physical access to unused USB and
serial ports on the IACS.
5. Draeger relies on the medical device isolation mechanism of the VLANs and the proper
configuration, implementation, and use of the operating organization's security measures to
prevent the introduction of malware onto the Infinity Network.
Your local Draeger Service Representative will contact you to schedule an appointment to upgrade your system(s) software free of charge once the new software version is released for distribution.
If you have any questions regarding this letter, please contact Michael Kelhart between the hours of
8:00 AM - 4:30 PM EST at 1-800-437-2437 (press 1 at the prompt, then 32349).
Root Cause
Software design
Distribution Pattern
US Nationwide distribution.
Related FDA 510(k) Records
Devices referenced by this recall via K-numbers.
Official Source
View FDA Recall →Source: FDA Enforcement Report / Recall database. Always confirm against the official FDA record.
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