FDA Adverse Event
Malfunction
Summary report: N
BED CHECK CORDLESS SENSORMAT
MDR report key: 6259922
·
Received January 18, 2017
Report
- Report Number
- 6259922
- Event Type
- Malfunction
- Date Received
- January 18, 2017
- Date of Event
- October 25, 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 PAD WOULD NOT CONNECT TO THE DEVICE. ANOTHER PAD WAS OBTAINED AND CONNECTED WITHOUT DIFFICULTY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 44132 | BED CHECK CORDLESS SENSORMAT | MONITOR, BED PATIENT | KMI | STANLEY SECURITY SOLUTIONS, INC., | 73050 | A0516 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 90 YR |