FDA Adverse Event Death Summary report: N

STANLEY UMP TIMED CHAIR SENTRY PAD (SIC)

MDR report key: 1194409 · Received October 10, 2008

Report

Report Number
1929691-2008-00004
Event Type
Death
Date Received
October 10, 2008
Date of Event
September 27, 2008
Report Date
October 1, 2008
Manufacturer
STANLEY SECURITY SOLUTIONS, INC. SENIOR TECHNOLOGIES DIV
Product Code
KMI
PMA / PMN Number
K924433
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
RISK MANAGER

Narratives

Additional Manufacturer Narrative · 1

RISK MANAGER IS KEEPING POSSESSION OF SUSPECTED UNITS, THEREFORE, AN EVAL CAN NOT BE PERFORMED.

Description of Event or Problem · 1

THE RESIDENT FOUND ON FLOOR OF ROOM UNDER BED WITHOUT VITAL SIGNS. PRESSURE ALARM MALFUNCTIONED AND DID NOT ALARM WHEN THE RESIDENT GOT OUT OF BED. STAFF UNABLE TO MAKE ALARM SOUND FOLLOWING EVENT. (SIC). DISCUSSION CONDUCTED ON 10/2/08 WITH RISK MANAGER AT FACILITY STATED THAT THE EQUIPMENT WILL NOT BE SENT TO MANUFACTURER FOR EVAL, AND WILL REMAIN IN HER POSSESSION. RISK MANAGER REMARKED THAT THE EQUIPMENT CONTINUALLY BEEPS EVERY FEW SECONDS. SUSPECTED UMP EQUIPMENT MODEL#91600 AND/OR 93120.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STANLEY UMP TIMED CHAIR SENTRY PAD (SIC) PRESSURE ALARM (SIC) KMI STANLEY SECURITY SOLUTIONS, INC. SENIOR TECHNOLOGIES DIV UMP #91600 (SIC)

Patients

Seq Age Sex Outcome Treatment
1 Death UMP MONITOR MODEL #91600 (SIC)