HUGS 806A2001 NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2014-10-17 for HUGS 806A2001 NA manufactured by Stanley Security Solutions, Inc..

Event Text Entries

[17264139] From medwatch form received from user facility: "per nurse coordinator on pediatrics: when you put the strap through the hugs tags, the strap curls and pulls apart; an rn pulled the strap out of a hugs tag and the alarm should have gone off and it didn't; there were multiple pts that this happened to. Also there were some from devices in this box of straps that worked fine. The unit has been using another box of straps with the same number that is stamped on the end of the box for two days and have had no issues. This issue has happened with multiple staff members. Customer service contacted and said i could not send it back. I had to leave a message with qa. " mfr followed up with facility. Statement that customer could not send it back was misleading. Mfr required return through dist for record-keeping purposes. Customer returned remaining samples through dist, which in turn processed a return to the mfr.
Patient Sequence No: 1, Text Type: D, B5


[17454130] Reported device is not a med device as it is not used to treat, diagnose, cure, or mitigate a disease or condition of man. Device is part of a security sys to assist staff in preventing infant abduction. Items are packaged in boxes of (b)(4). No sample was returned showing the failure i. E. Separated straps. Approximately (b)(4) straps were returned from the suspect box and were tested by the mfr. Qual and functional tests were unable to reproduce any failure, including strap insertion tests on sample tags in an attempt to simulate use conditions between strap and tag resulting in failure. Additional follow up with facility has no far resulted in no further response. Mfr has requested info specific to tags that were in use when straps separated, to inspect production records and return and inspect any such tag, if found. User facility report did not include pt or device codes. Therefore, mfr was unable to detect any failure with returned straps. Although awaiting further info from the facility, mfr concludes that the reported failure to alarm was within the five minutes period after strap insertion. Per design when the strap is cut within the five minute period, the alarm will not sound. The sys gives this period to nursing staff to allow adjustment to tag and strap after initial insertion.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1929691-2014-00002
MDR Report Key4231945
Report Source06
Date Received2014-10-17
Date of Report2014-10-17
Date of Event2014-09-15
Date Mfgr Received2014-09-18
Date Added to Maude2014-11-13
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactGINA BENNETT
Manufacturer Street4600 VINE ST
Manufacturer CityLINCOLN NE 68503
Manufacturer CountryUS
Manufacturer Postal68503
Manufacturer Phone4027429322
Single Use0
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHUGS
Generic NameINFANT SECURITY
Product CodeILQ
Date Received2014-10-17
Returned To Mfg2014-09-25
Model Number806A2001
Catalog NumberNA
Lot Number400082
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTANLEY SECURITY SOLUTIONS, INC.
Manufacturer AddressLINCOLN NE US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-10-17

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