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 |