FDA Adverse Event
Malfunction
Summary report: N
NURSE ASSIST
MDR report key: 3842899
·
Received May 27, 2014
Report
- Report Number
- MW5036373
- Event Type
- Malfunction
- Date Received
- May 27, 2014
- Date of Event
- April 30, 2014
- Report Date
- May 23, 2014
- Manufacturer
- NURSE ASSIST
- Product Code
- KMI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- LA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
IT IS BELIEVED THE RN+ MONITOR DID NOT ALARM AND THE PATIENT SUSTAINED A FALL WITHOUT INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 310311 | NURSE ASSIST | BED ALARM | KMI | NURSE ASSIST | BPS-10RF |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 87 YR |