FDA Adverse Event Injury Summary report: N

MICRO_TECH

MDR report key: 2010705 · Received February 24, 2011

Report

Report Number
1929691-2009-00003
Event Type
Injury
Date Received
February 24, 2011
Date of Event
October 27, 2009
Report Date
January 10, 2011
Manufacturer
STANLEY SECURITY SOLUTIONS, INC. - SENIOR TECHNOLOGIES DIVISON
Product Code
KMI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
ID, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ON (B)(6) 2009: (B)(6), DIRECTOR OF NURSING, INDICATED THAT SHE DID NOT KNOW IF SHE WOULD BE ABLE TO CONFIRM IF THE PAD WAS PLUGGED INTO THE MONITOR. THE FACILITY WAS USING ONE MONITOR AND SWITCHING BACK AND FORTH BETWEEN THE BED PAD AND THE CHAIR PAD. (B)(6) INDICATED THEY ARE NOW USING TWO ALARMS. ON (B)(6) 2009: (B)(6) WHO IS THE REGIONAL CONSULTANT RN AT (B)(6) STATED THAT PADS WOULD NOT ALARM AND WERE NOT FUNCTIONING PROPERLY. SUE CLAIMED THE FACILITY MAY NOT HAVE BEEN USING THE SAME BRAND OF MONITORS WITH THE SAME BRAND OF PADS. ON (B)(6) 2009: (B)(6) INDICATED THAT THE PADS INVOLVED IN THE ALLEGED FAILURES HAVE BEEN ADVISED NOT TO LEAVE HER OFFICE. NO EQUIPMENT WAS RETURNED TO (B)(6) FOR EVALUATION. IT IS UNKNOWN IF (B)(6) USED MICRO-TECH BED OR CHAIR SENSORS WITH MICRO-TECH MONITORS. THE REPORT ON (B)(6) 2009, (B)(6) INDICATED THAT THEY MAY NOT HAVE BEEN USING THE SAME BRAND OF MONITORS WITH THE SAME BRAND OF PADS.

Description of Event or Problem · 1

ANGIE PETERSON, DIRECTOR OF NURSING, INDICATED THAT THEY HAD UNITS FAIL OVER THE WEEKEND RESULTING IN ONE INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MICRO_TECH MICRO-TECH BED SENSOR KMI STANLEY SECURITY SOLUTIONS, INC. - SENIOR TECHNOLOGIES DIVISON 82715 NA

Patients

Seq Age Sex Outcome Treatment
1