FDA Adverse Event Death Summary report: N

STANDER SECURITY POLE

MDR report key: 16853996 · Received May 1, 2023

Report

Report Number
MW5117187
Event Type
Death
Date Received
May 1, 2023
Date of Event
April 27, 2023
Report Date
April 28, 2023
Manufacturer
STANDER, INC.
Product Code
IKX
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MO, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Description of Event or Problem · 0

PT FOUND BY DAUGHTER IN BED DECEASED WITH STANDER SECURITY POLE ON BODY. UNSURE IF CONTRIBUTED TO DEATH. PT WAS ON HOSPICE SERVICES. CORONER CONTACTED FOR INVESTIGATION. UNKNOWN OUTCOME AT TIME OF REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1740062 STANDER SECURITY POLE AID, TRANSFER IKX STANDER, INC.

Patients

Seq Age Sex Outcome Treatment
1 92 YR Male Death