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 |