MAUDE Adverse Event Report: TIDI PRODUCTS LLC SINGLE PATIENT USE CHAIR SENSOR; MONITOR, BED PATIENT

Model Number	8309
Medical Device Problem Code	No Audible Alarm (1019)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event	Malfunction
Event or Problem Description
Customer reported complaint via email issue with item 8309 (qty: (b)(4), product resulted in a patient fall.Two sensors have the same lot (#5268t212), one has a different lot (#5261t220).The date the issue was discovered is unknown and no patient injury was reported.
Additional Manufacturer Narrative
Product was returned and evaluated.Visual findings observed a crease along the right side of the sensor pad.Evaluation found when weight was applied to the sensor, the fall monitor correctly announced sensor activated.However, in some instances the alarm ceased; and in other instances, the alarm continued to sound causing intermittent function.The likely cause for the intermittent behavior is due to the crease on the right side of the sensor pad.Instructions for use (ifu) were reviewed and found to provide adequate instructions and warnings for safe and effective use of the device.The ifu states if the alarm and/or sensor do not function properly, remove the alarm and sensor from service and replace them with a properly functioning alarm and/or sensor.Do not use the alarm or sensor if it does not activate each time weight is removed from the sensor, or if the chair belt sensor is unfastened.At this time there is no evidence that a manufacturing non-conformity contributed to the reported complaint.All complaints are trended and reviewed by management on a monthly basis.As a part of the monthly review, any excursion above the control limits for this failure mode will be assessed, documented and acted upon as warranted.Manufacturer reference file: (b)(4).

• Brand Name: SINGLE PATIENT USE CHAIR SENSOR
• Common Device Name: MONITOR, BED PATIENT
• Manufacturer (Section D): TIDI PRODUCTS LLC; 570 enterprise drive; neenah WI 54956
• Manufacturer Contact: chris rahn ; 570 enterprise drive; neenah, WI 54956 ; 9207514300
• MDR Report Key: 24372271
• Report Number: 2182318-2026-00010
• Device Sequence Number: 20043014
• Product Code: KMI
• UDI-Device Identifier: 10190676004352
• UDI-Public: 10190676004352
• Combination Product (Y/N): N
• Initial Reporter State: IN
• Initial Reporter Country: US
• PMA/510(K) Number: EXEMPT
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: User Facility
• Initial Reporter Occupation: Other
• Type of Report: Initial
• Report Date (Section B): 01/20/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Model Number: 8309
• Device Catalogue Number: 8309
• Device Lot Number: 5261T220
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 02/04/2026
• Was the Report Sent to FDA?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 01/20/2026
• Initial Report FDA Received Date: 02/17/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 09/18/2025
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Patient Sex: Unknown