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