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