FDA Adverse Event Malfunction Summary report: N

POSEY KEEPSAFE DELUXE

MDR report key: 2725437 · Received August 22, 2012

Report

Report Number
2020362-2012-00500
Event Type
Malfunction
Date Received
August 22, 2012
Report Date
July 23, 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
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

EVALUATION RESULTS: EVAL OF THE RETURNED PRODUCT REVEALED THE UNIT DOES POWER ON. ALTHOUGH THE VOICE MESSAGE PLAYS WITH STATIC, THE UNIT PASSES ALL FUNCTIONAL TESTS. ADDITIONALLY THERE IS BATTERY LEAKAGE RESIDUE ON THE BATTERY DOOR, SPRING, AND BATTERY RIBBON. THE BATTERY SPRINGS ARE CORRODED DUE TO BATTERY LEAKAGE. NOTE: POSEY INSTRUCTIONS FOR USE HAS A WARNING STATEMENT: TAKE CARE WHEN INSTALLING NEW BATTERIES. THE ALARM WILL NOT WORK IF BATTERIES ARE INSTALLED IMPROPERLY. DO NOT MIX OLD AND NEW BATTERIES, OR BATTERY BRANDS WITHIN A BATTERY PACK. ALWAYS INSTALL A COMPLETELY NEW SET OF BATTERIES. DO NOT ALLOW BATTERIES TO DEPLETE WHILE IN THE ALARM. DEPLETED BATTERIES MAY LEAK AND CORRODE, CAUSING DAMAGE TO THE ELECTRONICS AND RELIABILITY. (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE ALARM HAS MULTIPLE DAMAGES TO IT. THE CUSTOMER DID NOT KNOW THE SPECIFIC PRODUCT ISSUE OR WHEN THE ISSUE WAS IDENTIFIED. 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 CO. 8374 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK