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 |