FDA Adverse Event Malfunction Summary report: N

SITTER SELECT

MDR report key: 2515893 · Received March 29, 2012

Report

Report Number
2020362-2012-00259
Event Type
Malfunction
Date Received
March 29, 2012
Report Date
January 30, 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
FL, US
Reporter Occupation
RISK MANAGER

Narratives

Additional Manufacturer Narrative · 1

EVAL OF THE RETURNED PRODUCT REVEALED THE UNIT POWERED ON AND WAS ABLE TO RECORD A MESSAGE. THERE IS A SOUND IN THE BACKGROUND, BUT THE PRE-RECORDED MESSAGE PLAYS CLEARLY. ADD'L TESTING SHOWS THAT THE MESSAGE DOES RECORD, BUT NOT VERY CLEAR. THE BATTERY SPRINGS ARE BENT. NOTE: THE INSTRUCTIONS FOR USE HAS A WARNING STATEMENT: THE POSEY SITTER SELECT IS AN ELECTRONIC DEVICE. IT MAY FAIL TO WORK IF SUBJECTED TO SEVERE SHOCK, SUCH AS BEING DROPPED, OR IMMERSED IN LIQUID. STORE THE ALARM IN A SECURE PLACE SO IT WILL NOT BE DROPPED OR DAMAGED. DO NOT USE IF, BATTERY DOOR IS MISSING; BATTERY DOOR IS DAMAGED, ALARM CASE IS DAMAGED, OR ALARM CASE IS CRACKED. (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED THAT THE ALARM HAS POWER, BUT WILL NOT ALLOW A MESSAGE TO BE RECORDED. THERE WAS NO PT INCIDENT OR INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SITTER SELECT KMI J. T. POSEY CO. 8361 NA

Patients

Seq Age Sex Outcome Treatment
1 NA