STANLEY M200

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-15 for STANLEY M200 manufactured by Stanley Security Solutions.

Event Text Entries

[108518234] Patient heard to be moaning and rn found patient on floor in front of the chair. Patient on chair alarm which did not sound. Chair alarm and chair pad replaced. Noted to have been a malfunction of the chair alarm.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5077239
MDR Report Key7518141
Date Received2018-05-15
Date of Report2018-05-11
Date of Event2018-05-10
Date Added to Maude2018-05-16
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 0

Brand NameSTANLEY M200
Generic NameCHAIR ALARM
Product CodeKMI
Date Received2018-05-15
Model NumberM200
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No0
Device Event Key0
ManufacturerSTANLEY SECURITY SOLUTIONS

Device Sequence Number: 1

Brand NameSTANLEY M200
Generic NameCHAIR ALARM
Product CodeKMI
Date Received2018-05-15
Model NumberM200
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerSTANLEY INDUSTRIAL AND AUTOMOTIVE LLC


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2018-05-15

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