FDA Adverse Event
Injury
Summary report: N
WANDER GUARD SIGNALING DEVICE
MDR report key: 15894361
·
Received November 30, 2022
Report
- Report Number
- MW5113560
- Event Type
- Injury
- Date Received
- November 30, 2022
- Date of Event
- November 26, 2022
- Report Date
- November 28, 2022
- Manufacturer
- STANLEY HEALTHCARE SOLUTIONS LINCOLN/STANLEY CONVERGENT SECURITY SOLUTIONS, INC.
- Product Code
- IQA
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- WI, US
- Reporter Occupation
- 501
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
WGE PLUS, 90 DAY, 508 KHZ SIGNALING DEVICE FOR A WANDER GUARD SYSTEM DID NOT ALARM WHEN PATIENT EXITED FACILITY THROUGH THE WANDER GUARD SYSTEM. THE SIGNALING DEVICE WAS ACTIVATED AND WITHIN THE 90-DAY ACTIVATION PERIOD. THE WANDER GUARD SYSTEM WAS WORKING PROPERLY. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 348879 | WANDER GUARD SIGNALING DEVICE | SYSTEM, ENVIRONMENTAL CONTROL, POWERED | IQA | STANLEY HEALTHCARE SOLUTIONS LINCOLN/STANLEY CONVERGENT SECURITY SOLUTIONS, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Male | Required Intervention |