FDA Adverse Event
Malfunction
Summary report: N
POSEY STAYSAFE BED
MDR report key: 1933987
·
Received December 1, 2010
Report
- Report Number
- 2020362-2010-00386
- Event Type
- Malfunction
- Date Received
- December 1, 2010
- Report Date
- November 8, 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
- CT, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4) (ZIPPER DAMAGE). EVALUATION: RESULTS: EVALUATION OF THE PRODUCT FOUND THAT THE FRONT SIDE WINDOW ZIPPER IS DAMAGED. WHEN THE ZIPPER IS CLOSED, THE ELEMENTS SEPARATE WHEN THE ZIPPER IS TWISTED. (B)(4).
Description of Event or Problem · 1
THE CUSTOMER REPORTED THAT THE SIDE PANEL HAS A ZIPPER THAT HAS DAMAGE BUT COULDN'T PROVIDE MORE INFORMATION ABOUT THE SPECIFIC ZIPPER DAMAGE. THIS WAS DISCOVERED WHILE IN USE; HOWEVER, THERE WAS NO PATIENT INCIDENT OR INJURY THAT OCCURRED. INSPECTION OF THE PRODUCT FOUND THAT THE FRONT WINDOW ZIPPER SEPARATES WHEN TWISTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | POSEY STAYSAFE BED | FNL | J. T. POSEY CO. | 8040 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NI |