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 2018-05-29 for STANLEY M200 manufactured by Stanley Security Solutions, Inc..

Event Text Entries

[109397036]
Patient Sequence No: 1, Text Type: N, H10


[109397037] The alarm mat connection port at the bottom of the box did not allow the connection to click in and lock in. It did accept the cable, and the cable sound indicator sounded as though the connection was made between the mat under the patient and the alarm box. With any slight movement of the cable or even gravity for any period of time, the connector slips out of the alarm box.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7548636
MDR Report Key7548636
Date Received2018-05-29
Date of Report2018-05-22
Date of Event2018-05-15
Report Date2018-05-22
Date Reported to FDA2018-05-22
Date Reported to Mfgr2018-05-22
Date Added to Maude2018-05-29
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSTANLEY M200
Generic NameMONITOR, BED PATIENT
Product CodeKMI
Date Received2018-05-29
Model NumberM200
ID NumberBOX 209787
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSTANLEY SECURITY SOLUTIONS, INC.
Manufacturer Address4600 VINE STREET LINCOLN NE 68503 US 68503


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2018-05-29

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