FDA Adverse Event Malfunction Summary report: N

POSEY KEEPSAFE DELUXE

MDR report key: 2490612 · Received March 6, 2012

Report

Report Number
2020362-2012-00136
Event Type
Malfunction
Date Received
March 6, 2012
Report Date
February 7, 2012
Manufacturer
J. T. POSEY COMPANY
Product Code
KMI
PMA / PMN Number
EXEMPT
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4) - VOICE MESSAGE, STATIC, UNLABELED. RESULTS - EVAL OF THE RETURNED PRODUCT FOUND THE NURSE CALL LIGHT TURNS OFF INTERMITTENTLY WHEN THE NURSE CALL CABLE IS WIGGLED. THE NURSE CALL CABLE FITS SECURELY IN THE RECEPTACLE. THE VOICE MESSAGE SOUNDS LIKE STATIC. TONE SOUNDS NORMALLY. THERE IS NO PHYSICAL DAMAGE OBSERVED TO THE ALARM UNIT. NOTE: THE INSTRUCTIONS FOR USE HAS A WARNING STATEMENT: ALWAYS CHECK TO ENSURE STAFF CAN HEAR ALARM AT THE FURTHER POSSIBLE DISTANCE BEFORE LEAVING PT UNATTENDED. WHEN CONNECTING THE ALARM TO THE NURSE CALL SYSTEM, CHECK THAT THE NURSE CALL CABLE IS SECURELY CONNECTED TO THE ALARM AND THE NURSE CALL PANEL. ALWAYS TEST ALARM AND NURSE CALL FUNCTION IF NURSE CALL CABLE IS PLUGGED INTO THE ALARM INTO THE ALARM AND WALL JACK. ACTIVATE THE ALARM (REMOVE PRESSURE FROM SENSOR, UNFASTEN CHAIR BELT SENSOR, OR ACTIVATE PIR SENSOR) AND MAKE SURE THE NURSE CALL LIGHT FOR THE PROPER BED AND NOON ACTIVATE IN THE APPROPRIATE NURSE'S STATION LOCATION. REMOVE THE CABLE FROM THE WALL JACK AND MAKE SURE THE VISUAL OR AUDIBLE ALERT AT THE NURSE'S STATION IMMEDIATELY ACTIVATES. (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED THAT THE VOICE TONE HAS STATIC. THERE WAS NO PT INCIDENT OR INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 POSEY KEEPSAFE DELUXE KMI J. T. POSEY COMPANY 8374 NA

Patients

Seq Age Sex Outcome Treatment
1 NA