MOBILEHELP - DUO SYSTEM IGB-01

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2014-03-25 for MOBILEHELP - DUO SYSTEM IGB-01 manufactured by Integrity Tracking, Llc/ Dba Mobilehelp.

Event Text Entries

[4332968] On (b)(6) 2014 around 7:50am subscriber fell and needed help inside her home. Subscriber pressed her pendant multiple times but did not get a response. She also pressed her mobile device that was in her purse and did not get a response. She was on floor for about 1. 5 hours until (b)(6) (relative) had someone go check on her because she wasn't answering her phone. Subscriber is in rehab now after having some kind of outpatient surgery performed. Subscriber has a compressed stress fracture.
Patient Sequence No: 1, Text Type: D, B5


[11617088] Base station lost training to the pendant. This resulted in the base station failing to activate when the pendant button was pushed. The mobile device showed a low battery signal on (b)(6) 2014, indicating a strong possibility that it lost power, and therefore, the mobile device button press resulted in the unit not activating. The devices were swapped out with the latest version of the base station (cellular) and the mobile device. The system is now functional.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3008101184-2014-00008
MDR Report Key3697942
Report Source04
Date Received2014-03-25
Date of Report2014-03-17
Date of Event2014-02-19
Date Mfgr Received2014-02-19
Date Added to Maude2014-05-22
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMR. GARY BECKER
Manufacturer Street3701 FAU BLVD SUITE 300
Manufacturer CityBOCA RATON 33431
Manufacturer CountryUS
Manufacturer Postal33431
Manufacturer Phone5613476255
Single Use0
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMOBILEHELP - DUO SYSTEM
Generic NamePERSONAL EMERGENCY RESPONSE SYSTEM
Product CodeILQ
Date Received2014-03-25
Returned To Mfg2014-03-10
Model NumberIGB-01
ID NumberV4.32-R9
OperatorLAY USER/PATIENT
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerINTEGRITY TRACKING, LLC/ DBA MOBILEHELP
Manufacturer Address3701 FAU BLVD SUITE 300 BOCA RATON FL 33431 US 33431


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-03-25

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