FDA Adverse Event Malfunction Summary report: N

POSEY KEEPSAFE FALL MONITOR

MDR report key: 1851308 · Received September 23, 2010

Report

Report Number
2020362-2010-00241
Event Type
Malfunction
Date Received
September 23, 2010
Report Date
August 25, 2010
Manufacturer
DONGGUAN POSEY MEDICAL DEVICE LTD.
Product Code
KMI
PMA / PMN Number
EXEMPT
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). ALARM, FAILURE TO. THE PRODUCT HAS BEEN REQUESTED TO BE RETURNED BUT HAS NOT BEEN RECEIVED.

Description of Event or Problem · 1

CUSTOMER CLAIMS THE ALARM HAS POWER BUT NO ALARM TONE WHEN PRESSURE IS OFF THE PAD. ALSO, NO ALARM TONE WHEN THE SENSOR IS DETACHED FROM THE ALARM. CUSTOMER TESTED WITH NEW CHAIR PAD AND NEW BATTERIES. THIS WAS DISCOVERED WHILE IN USE WITH A PT. THERE WAS NO PT INCIDENT OR INJURY THAT OCCURRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 POSEY KEEPSAFE FALL MONITOR KMI DONGGUAN POSEY MEDICAL DEVICE LTD. 8350 NA

Patients

Seq Age Sex Outcome Treatment
1 NI