FDA Adverse Event Malfunction Summary report: N

POSEY STAYSAFE BED

MDR report key: 2192577 · Received June 30, 2011

Report

Report Number
2020362-2011-00221
Event Type
Malfunction
Date Received
June 30, 2011
Report Date
May 10, 2011
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) - TEARS, RIPS, IN NETTING MATERIAL. EVALUATION RESULTS: EVALUATION OF THE RETURNED CANOPY SHOWS THAT THE PATIENT ACCESS PANEL SIDE RIGHT: MOLDING ZIPPER SLIDER BODY IS OPEN. NOTE: POSEY INSTRUCTIONS FOR USE WARNING INDICATES: NEVER USE THE BED IF A ZIPPER SLIDER IS BENT OPEN OR DAMAGED AND THE ZIPPER IS NOT SECURELY CLOSED. TEST THAT ALL OF THE ZIPPERS OPEN EASILY AND CLOSE SECURELY ALONG THE ENTIRE LENGTH OF THE ZIPPER. 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

CUSTOMER REPORTED THAT THERE IS A TEAR ON THE CANOPY MATERIAL. CUSTOMER DID NOT SPECIFY THE LOCATION OR THE SIZE OF THE TEAR. CUSTOMER NOTED RIP COVER ON THEIR RETURN SERVICE FORM. 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 CO. 8070 NA

Patients

Seq Age Sex Outcome Treatment
1 NA