FDA Adverse Event Malfunction Summary report: N

POSEY SITTER II

MDR report key: 1821297 · Received August 26, 2010

Report

Report Number
2020362-2010-00183
Event Type
Malfunction
Date Received
August 26, 2010
Report Date
June 30, 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
NH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION FOR THE RETURNED PRODUCT SHOWS THAT WHEN TESTED THE NURSE CALL FUNCTIONS INTERMITTENTLY. THE BATTERY LIGHT CAME ON, BUT IS DIM. THE ALARM CASE IS DAMAGED ON THE BOTTOM RIGHT CORNER. MANUFACTURER REFERENCES (B)(4).

Description of Event or Problem · 1

CUSTOMER CLAIMS THAT THE ALARM IS READING LOW BATTERY EVEN WITH NEW BATTERIES. THERE WAS NO PATIENT INCIDENT OR INJURY REPORTED. EVALUATION FOR THE RETURNED PRODUCT SHOWS THE NURSE CALL FUNCTIONS INTERMITTENTLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 POSEY SITTER II KMI J. T. POSEY CO. 8281 NA

Patients

Seq Age Sex Outcome Treatment
1 NI