FDA Adverse Event
Malfunction
Summary report: N
BED CHECK
MDR report key: 6249258
·
Received January 13, 2017
Report
- Report Number
- 6249258
- Event Type
- Malfunction
- Date Received
- January 13, 2017
- Date of Event
- October 24, 2016
- Report Date
- November 25, 2016
- Manufacturer
- STANLEY SECURITY SOLUTIONS, INC.,
- Product Code
- KMI
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
BED CHECK NOT WORKING. BATTERIES WERE REPLACED, BED CHECK AND BOX RE-MARRIED WITHOUT RESOLUTION. REMOVED FROM SERVICE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 32408 | BED CHECK | MONITOR, BED PATIENT | KMI | STANLEY SECURITY SOLUTIONS, INC., | 72110 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 101 YR |