FDA Adverse Event
Malfunction
Summary report: N
POSEY PERSONAL ALARM LOUD
MDR report key: 1881506
·
Received October 19, 2010
Report
- Report Number
- 2020362-2010-00294
- Event Type
- Malfunction
- Date Received
- October 19, 2010
- Report Date
- September 21, 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). EVAL RESULTS: EVAL FOR THE RETURNED PRODUCT SHOWS AN INTERMITTENT ALARM TONE WHEN THE MAGNET IS OFF THE MAGNET PLATE. THE UNIT BATTERY DOOR IS MISSING. (B)(4).
Description of Event or Problem · 1
CUSTOMER CLAIMS WHILE IN USE THE ALARM WILL NOT SOUND. CUSTOMER MADE ATTEMPTS TO ADJUST THE VOLUME AND THE RESULTS REMAIN THE SAME. THE BATTERIES WERE REPLACED WITH THE SAME TYPE. THERE WAS NO PT INCIDENT OR INJURY REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | POSEY PERSONAL ALARM LOUD | KMI | DONGGUAN POSEY MEDICAL DEVICE LTD. | 8202L | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NI |