FDA Adverse Event Malfunction Summary report: N

POSEY SITTER II WIRELESS NURSE CALL TRANSMITTER

MDR report key: 1813256 · Received August 18, 2010

Report

Report Number
2020362-2010-00169
Event Type
Malfunction
Date Received
August 18, 2010
Report Date
April 16, 2010
Manufacturer
J. T. POSEY CO.
Product Code
KMI
PMA / PMN Number
EXEMPT
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

(B)(4) - PAGER DISPLAYS OUT OF RANGE: EVALUATION RESULTS: EVALUATION FOR THE RETURNED PRODUCTS SHOWS WHEN TESTED THE PRODUCTS POWERED ON, BUT THE ALARM SOUNDS INTERMITTENTLY. THE RETURNED PRODUCTS ARE OBSOLETE. (B)(4).

Description of Event or Problem · 1

CUSTOMER CLAIMS THAT THE PAGER ALWAYS DISPLAY OUT OF RANGE AND DOESN'T MATTER THE DISTANCE. THERE WAS NO PATIENT INCIDENT OR INJURY REPORTED. EVALUATION FOR THE RETURNED PRODUCT SHOWS WHEN TESTED THE UNIT POWERED ON AND ALARMS INTERMITTENTLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 POSEY SITTER II WIRELESS NURSE CALL TRANSMITTER KMI J. T. POSEY CO. 8293 NA

Patients

Seq Age Sex Outcome Treatment
1 NI WIRELESS NURSE CALL PAGER: PN 829441, (B)(4)