BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POSEY RESTRAINT NET-NYLON MESH

    MDR report key: 1386694 · Received March 19, 2009

    Report

    Report Number
    2020362-2009-00121
    Event Type
    Malfunction
    Date Received
    March 19, 2009
    Report Date
    February 17, 2009
    Manufacturer
    J. T. POSEY CO.
    Product Code
    FMQ
    PMA / PMN Number
    K963412
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    VELCRO WRIST RESTRAINTS PULLED OFF.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT ON RESTRAINT NET-NYLON MODEL 8115 THE VELCRO WRIST RESTRAINTS PULLED OFF. NO PT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 POSEY RESTRAINT NET-NYLON MESH FMQ J. T. POSEY CO. 8115 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 NI