FDA Adverse Event
Malfunction
Summary report: N
POSEY KEEPSAFE DELUXE
MDR report key: 1851334
·
Received September 23, 2010
Report
- Report Number
- 2020362-2010-00246
- Event Type
- Malfunction
- Date Received
- September 23, 2010
- Report Date
- August 25, 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
- WI, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4). NO CONTINUITY (ELECTRICAL SHORT). RESULTS - INSPECTION OF THE RETURNED PRODUCT FOUND THAT THE UNIT HAS AN OPEN ELECTRICAL CIRCUIT IN THE NURSE CALL RECEPTACLE FUNCTION WHICH DOES NOT SEND A SIGNAL TO THE NURSE'S STATION. (B)(4).
Description of Event or Problem · 1
THE CUSTOMER CLAIMS THAT THE ALARM IS FUNCTIONING PROPERLY BUT WHEN IT WAS TESTED AGAINST A DIGITAL METER IT READS NO CONTINUITY (ELECTRICAL SHORT). THIS WAS DISCOVERED DURING SET UP. THERE WAS NO PT CONTACT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | POSEY KEEPSAFE DELUXE | KMI | J. T. POSEY CO. | 8374 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |