FDA Adverse Event Malfunction Summary report: N

POSEY BCS ACUTE CARE, LTC

MDR report key: 1821309 · Received August 26, 2010

Report

Report Number
2020362-2010-00186
Event Type
Malfunction
Date Received
August 26, 2010
Report Date
July 28, 2010
Manufacturer
J. T. POSEY CO.
Product Code
FNL
PMA / PMN Number
EXEMPT
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4) - ZIPPER DAMAGE. RESULTS - EVALUATION OF THE RETURNED PRODUCT FOUND THAT THE PANEL SIDE A ZIPPER SLIDER BODY IS OPEN. PANEL A HAS THREE INCH TEAR IN THE MATERIAL AT THE START OF THE DRAINAGE PORT. PANEL B HAS SIX INCH TEAR IN THE MATERIAL AT THE START OF THE DRAINAGE PORT. (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE CANOPY HAS A ZIPPER THAT IS DAMAGED ON THE SIDE PANEL, BUT COULDN'T SPECIFY WHAT TYPE OF DAMAGE. THERE WAS NO PATIENT INJURY REPORTED. INSPECTION SHOWS THAT THE PANEL SIDE A SLIDER BODY IS OPEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 POSEY BCS ACUTE CARE, LTC FNL J. T. POSEY CO. 8050 NA

Patients

Seq Age Sex Outcome Treatment
1 NI