FDA Adverse Event Malfunction Summary report: N

POSEY BED

MDR report key: 2942186 · Received January 3, 2013

Report

Report Number
2020362-2013-00003
Event Type
Malfunction
Date Received
January 3, 2013
Report Date
December 10, 2012
Manufacturer
J. T. POSEY CO.
Product Code
OYS
PMA / PMN Number
K113355
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PRODUCT WAS REQUESTED TO BE RETURNED FOR EVAL, BUT HAS NOT BEEN RECEIVED. NOTE: THIS SUBMISSION IS BASED SOLELY ON THE USER FACILITY STATEMENT. NOTE: POSEY INSTRUCTIONS FOR USE HAS A WARNING STATEMENT: NEVER TRY TO RIP A PANEL OPEN AS THIS MAY DAMAGE THE ACCESS PANEL OR THE ZIPPER SLIDER BY BENDING IT OPEN. NEVER USE THE BED IF THE ZIPPER SLIDER IS BENT OPEN OR DAMAGED, AS THIS MAY PREVENT THE ZIPPER FROM CLOSING SECURELY. NEVER LEAVE THE PT'S BEDSIDE UNTIL ALL ACCESS PANEL ZIPPERS ARE SECURELY CLOSED. TEST THE ENTIRE LENGTH OF EACH ZIPPER BY PRESSING AGAINST THE PANEL NEAR THE ZIPPER TO MAKE SURE IT IS SECURELY CLOSED AND THE ACCESS PANEL WILL NOT OPEN WHEN PRESSURE IS APPLIED. MFR REFERENCES FILE # 2012-06234.

Description of Event or Problem · 1

CUSTOMER REPORTED THAT THE ZIPPER TEETH ARE NOT ALIGNING CORRECTLY ON THE FRONT SIDE PANEL. THERE WAS NO PT INCIDENT OR INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
3808 POSEY BED OYS J. T. POSEY CO. 8040 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK