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 |