FDA Adverse Event
Malfunction
Summary report: N
STANLEY BED ALARM
MDR report key: 11759739
·
Received May 3, 2021
Report
- Report Number
- 11759739
- Event Type
- Malfunction
- Date Received
- May 3, 2021
- Date of Event
- March 28, 2021
- Report Date
- April 22, 2021
- Manufacturer
- STANLEY SECURITY SOLUTIONS, INC.
- Product Code
- KMI
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MO
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
PATIENT CARE TECH WALKED INTO ROOM AND FOUND PATIENT FACE DOWN ON FLOOR MAT NEXT TO BED. RN WAS CALLED INTO ROOM FOR ASSISTANCE. PATIENT STATED THEY WANTED TO SIT UP AND DIDN'T REALIZE HOW CLOSE TO THE EDGE OF THE BED THEY WERE. PATIENT'S BED ALARM WAS ACTIVE, BUT DID NOT SOUND WHEN PATIENT GOT OUT OF BED. NEW ALARM WAS PLACED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 661653 | STANLEY BED ALARM | MONITOR, BED PATIENT | KMI | STANLEY SECURITY SOLUTIONS, INC. | 74030 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 19710 DA |