FDA Adverse Event Malfunction Summary report: N

POSEY STAYSAFE BED

MDR report key: 1904073 · Received November 12, 2010

Report

Report Number
2020362-2010-00345
Event Type
Malfunction
Date Received
November 12, 2010
Report Date
October 15, 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
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4) - EVAL OF THE PRODUCT FOUND THAT THE PANEL SIDE B WINDOW ZIPPER SLIDER BODY IS OPEN. THERE WAS NO EVIDENCE OF ANY ZIPPER TEETH MISSING. NOTE: POSEY INSTRUCTIONS FOR USE HAS A WARNING STATEMENT: NEVER TRY TO RIP A PANEL OPEN, AS THIS MAY DAMAGE THE ACCESS PANEL OR THE ZIPPER SLIDER BY BENDING IT OPEN. (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THERE IS ZIPPER DAMAGE ON THE CANOPY, THE TEETH ARE MISSING BUT COULDN'T SPECIFY WHERE. THERE WAS NO PT INCIDENT OR INJURY REPORTED. INSPECTION OF THE PRODUCT SHOWS THAT ON PANEL SIDE B ACCESS WINDOW THE ZIPPER SLIDER BODY IS OPEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 POSEY STAYSAFE BED FNL J. T. POSEY CO. 8060 NA

Patients

Seq Age Sex Outcome Treatment
1 NI