FDA Adverse Event Malfunction Summary report: N

POSEY BED

MDR report key: 3131762 · Received May 6, 2013

Report

Report Number
2020362-2013-00204
Event Type
Malfunction
Date Received
May 6, 2013
Report Date
April 12, 2013
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

RESULTS: EVALUATION CONFIRMED THE REPORTED ISSUE; THERE IS AN OPEN SLIDER ON THE PATIENT ACCESS OF PANEL SIDE A. NOTE: INSTRUCTIONS FOR USE STATE: TEST THAT ALL ZIPPERS OPEN EASILY AND CLOSE SECURELY ALONG THE ENTIRE LENGTH OF THE ZIPPER. INSPECT ZIPPER COILS FOR ANY KINKS OR MISALIGNMENT. IF ANY ARE IDENTIFIED, ZIP AND UNZIP THE ZIPPER. IF CONDITION CONTINUES, DO NOT USE PRODUCT. DO NOT USE THE POSEY BED IF ZIPPERS HAVE OPEN GAPS THAT DO NOT CLOSE SECURELY ALONG THE ENTIRE LENGTH NEVER RIP THE PANELS OPEN, AS THIS WILL DAMAGE THE ZIPPER SLIDER PREVENTING THE ZIPPER FROM CLOSING SECURELY. (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED THE TEETH WILL NOT STAY ALIGNED ON THE ZIPPER LOCATED ON THE LEFT SIDE PANEL. CUSTOMER DID NOT PROVIDE A DATE WHEN THIS WAS DISCOVERED. NO PATIENT INCIDENT OR INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
197764 POSEY BED OYS J. T. POSEY CO. 8060 NA

Patients

Seq Age Sex Outcome Treatment
1 NA