FDA Adverse Event Malfunction Summary report: N

POSEY STAYSAFE BED

MDR report key: 2112250 · Received April 29, 2011

Report

Report Number
2020362-2011-00122
Event Type
Malfunction
Date Received
April 29, 2011
Report Date
March 31, 2011
Manufacturer
J. T. POSEY COMPANY
Product Code
FNL
PMA / PMN Number
EXEMPT
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4): EVALUATION, RESULTS: EVALUATION OF THE RETURNED PRODUCT FOUND THAT THE FRONT SIDE PANEL ACCESS ZIPPER SLIDER BODY IS OPEN. THE FRONT SIDE WINDOW NETTING HAS A 1/4 INCH HOLE. THE ELASTIC IS BROKEN ON THE UPPER AND LOWER ELASTIC ENDS OF THE LEGS AND TOP RIDGE AREAS. THE EVALUATION FINDINGS ARE CONSISTENT WITH THAT OF USER HANDLING RELATED ISSUES AS NOTED IN THE POSEY INSTRUCTIONS FOR USE WHICH 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. MANUFACTURER REFERENCES FILE (B)(4).

Description of Event or Problem · 1

THE CUSTOMER CLAIMS THERE IS A TEAR IN THE NETTING; HOWEVER, THEY WERE NOT SURE OF THE LENGTH AND CAUSE OF THE TEAR. THERE WAS NO PATIENT INCIDENT OR INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 POSEY STAYSAFE BED FNL J. T. POSEY COMPANY 8040 NA

Patients

Seq Age Sex Outcome Treatment
1 NI