BEUDAMED
    FDA Adverse Event Death Summary report: N

    WONDERGUARD

    MDR report key: 423017 · Received October 22, 2002

    Report

    Report Number
    423017
    Event Type
    Death
    Date Received
    October 22, 2002
    Date of Event
    September 16, 2002
    Report Date
    October 16, 2002
    Manufacturer
    RF TECHNOLOGIES, INC
    Product Code
    KMI
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CODE ALERT BRACELET DID NOT ALARM WHEN RESIDENT ELOPED FROM FACILITY THROUGH SECURE DOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WONDERGUARD ALARM BRACELET KMI RF TECHNOLOGIES, INC CA9100 *

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Death