FDA Adverse Event
Malfunction
Summary report: N
CORDLESS SENSORMAT PADS
MDR report key: 7929349
·
Received October 3, 2018
Report
- Report Number
- 7929349
- Event Type
- Malfunction
- Date Received
- October 3, 2018
- Date of Event
- August 9, 2018
- Report Date
- September 27, 2018
- Manufacturer
- STANLEY SECURITY SOLUTIONS, INC.
- Product Code
- KMI
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- PA
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
BED CHECK DID NOT ALARM WHEN PATIENT GOT OUT OF BED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 772676 | CORDLESS SENSORMAT PADS | MONITOR, BED PATIENT | KMI | STANLEY SECURITY SOLUTIONS, INC. | 74050 | A0318 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 29930 DA |