FDA Adverse Event Malfunction Summary report: N

POSEY RESTRAINT NET-NYLON

MDR report key: 1386698 · Received March 19, 2009

Report

Report Number
2020362-2009-00122
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

.

Description of Event or Problem · 1

IT WAS REPORTED THAT ON A POSEY RESTRAINT NET-NYLON MODEL 8115 THE STITCHING IS BECOMING LOOSE. NO SPECIFIC LOCATION PROVIDED. NO PT INJURY REPORTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 NI