MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-06-13 for SINGLE-PATIENT USE CHAIR SENSOR PAD 8309EL manufactured by Posey Products Llc.
[110916217]
Patient Sequence No: 1, Text Type: N, H10
[110916218]
Patient was sitting in chair, needed to go to restroom, and did not call for assistance. Posey chair alarm did not sound even though was on. Patient sustained a fall with injury.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 7595890 |
MDR Report Key | 7595890 |
Date Received | 2018-06-13 |
Date of Report | 2018-05-21 |
Date of Event | 2018-05-15 |
Report Date | 2018-05-21 |
Date Reported to FDA | 2018-05-21 |
Date Reported to Mfgr | 2018-05-21 |
Date Added to Maude | 2018-06-13 |
Event Key | 0 |
Report Source Code | User Facility report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | SINGLE-PATIENT USE CHAIR SENSOR PAD |
Generic Name | MONITOR, BED PATIENT |
Product Code | KMI |
Date Received | 2018-06-13 |
Catalog Number | 8309EL |
ID Number | L9378M REV D 052815 |
Device Availability | Y |
Device Eval'ed by Mfgr | * |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | POSEY PRODUCTS LLC |
Manufacturer Address | 5635 PECK ROAD ARCADIA CA 910060020 US 910060020 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Hospitalization; 2. Required No Informationntervention | 2018-06-13 |