FDA Adverse Event Malfunction Summary report: N

POSEY KEEPSAFE DELUXE

MDR report key: 2505041 · Received March 1, 2012

Report

Report Number
2020362-2012-00106
Event Type
Malfunction
Date Received
March 1, 2012
Report Date
January 24, 2012
Manufacturer
J. T. POSEY CO.
Product Code
KMI
PMA / PMN Number
EXEMPT
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). EVAL OF THE RETURNED PRODUCT FOUND THE ALARM POWERS ON BUT DOES NOT TRIGGER THE NURSE CALL LIGHT TO COME ON WHEN WEIGHT IS OFF THE TEST SENSOR. THE ALARM IS MISSING THE BATTERY DOOR AND THE BATTERY SPRINGS ARE BENT. NOTE: POSEY INSTRUCTIONS FOR USE HAS A STATEMENT: PROPER HANDLING AND USE: IF THE POSEY KEEPSAFE DELUXE IS SUBJECTED TO SEVERE MECHANICAL SHOCK, SUCH AS DROPPING, OR IS SUBMERGED IN LIQUID, IT MAY STOP FUNCTIONING AS DESIGNED. VISUALLY INSPECT THE UNIT FOR CRACKS IN THE CASE, MISSING SCREWS, MISSING BATTERY DOOR, BROKEN WIRES OR SIGNS OF EXPOSURE TO LIQUID. AFTER EACH INCIDENT, YOU MUST VERIFY THAT THE UNIT IS WORKING PROPERLY. CHECK TO MAKE SURE THE AUDIBLE ALARM IS FUNCTIONING PROPERLY BY APPLYING AND LIFTING WEIGHT OFF SENSOR IN SEVERAL SPOTS TO ACTIVATE THE ALARM. DO NOT USE THE POSEY KEEPSAFE DELUXE IF THE AUDIBLE ALARM DOES NOT SOUND. (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED THEY HAVE AN ALARM THAT HAS DAMAGES BUT COULDN'T PROVIDE EXACTLY WHAT THE PRODUCT ISSUE WAS. THEY REPORTED POSSIBLY THE ALARM MIGHT HAVE CORROSION AND/OR THE HOLD/SUSPEND BUTTON IS COMING OFF BUT THEY COULDN'T BE MORE SPECIFIC FOR THE REASON OF THE RETURN OF THE ALARM. THE CUSTOMER REPORTED THEY ARE CLEANING THE ALARM WITH SUPER SANI WIPES AND ARE NOT REUSING THE BATTERIES BETWEEN PTS. THERE WAS NO PT INJURY REPORT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 UNK