FDA Adverse Event Malfunction Summary report: N

SITTER ELITE

MDR report key: 11924809 · Received June 2, 2021

Report

Report Number
2020362-2021-00029
Event Type
Malfunction
Date Received
June 2, 2021
Report Date
May 10, 2021
Manufacturer
POSEY PRODUCT
Product Code
PJO
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: VISUAL FINDINGS OBSERVED EXCESSIVE FORCE OR IMPACT ON THE FRONT SIDE OF THE RETURNED UNIT AS IT HAS DEEP SCRATCHES AND INDENTATION. SITE STICKERS ATTACHED ON LEFT SIDE GREEN OVER MOLD. ONE OF THE DUST COVERS UNDERNEATH THE BATTERY SLOT IS BROKEN. THE UNIT WAS RECEIVED WITH BATTERIES INSIDE. EVALUATION FOUND THE UNIT DID NOT SOUND WHEN THE PULL MAGNET WAS TAKEN OFF THE MAGNET PLATE DUE TO A FAULTY REED SWITCH. THE UNIT PASSED ALL OTHER FUNCTIONAL TESTING WHILE USING A SENSOR PAD. BEING THAT THE UNIT HAS BEEN IN USE FOR OVER 4 YEARS, IT IS LIKELY NORMAL WEAR AND TEAR THAT CONTRIBUTED TO THE REPORTED ISSUE. AT THIS TIME, THERE IS NO EVIDENCE THAT A MANUFACTURING NON-CONFORMITY CONTRIBUTED TO THE REPORTED COMPLAINT AND THE INSTRUCTIONS FOR USE (IFU) WERE REVIEWED AND DETERMINED TO PROVIDE ADEQUATE INSTRUCTIONS AND WARNING FOR THE SAFE AND EFFECTIVE USE OF THE DEVICE. THE IFU STATES, TO REDUCE THE RISK OF SERIOUS INJURY OR DEATH, TEST THE ALARM AND SENSOR FOR PROPER OPERATION PRIOR TO PUTTING IN SERVICE WITH A PATIENT, AND EACH TIME BEFORE LEAVING THE PATIENT UNATTENDED. 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, SENSOR OR MAGNET IF IT DOES NOT ACTIVATE EACH TIME WEIGHT IS REMOVED FROM THE SENSOR, THE CHAIR BELT SENSOR IS UNFASTENED, OR MAGNET IS REMOVED FROM FACE PLATE. MANUFACTURER REFERENCE FILE (B)(4).

Description of Event or Problem · 1

CUSTOMER IS CALLING ABOUT AN ALARM THAT WILL NOT MAKE NOISE. THIS WILL OCCUR WHEN THE MAGNET HAS BEEN REMOVED FROM THE PLATE. NO GTIN NUMBER PROVIDED, TROUBLESHOOTING GUIDE SAVED. THE DATE THE ISSUE WAS DISCOVERED IS UNKNOWN AND NO PATIENT INCIDENT OR INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
821819 SITTER ELITE FALL PREVENTION ALARM/SENSOR COMBINATION ATTACHED OR UNATTACHED PJO POSEY PRODUCT 8345 1742KF0577

Patients

Seq Age Sex Outcome Treatment
1