FDA Adverse Event
Malfunction
Summary report: N
SITTER ELITE
MDR report key: 3132189
·
Received May 1, 2013
Report
- Report Number
- 2020362-2013-00198
- Event Type
- Malfunction
- Date Received
- May 1, 2013
- Report Date
- April 4, 2013
- 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
- MA, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
PRODUCT WAS REQUESTED TO BE RETURNED FOR EVALUATION BUT HAS NOT BEEN RECEIVED. NOTE: INSTRUCTIONS FOR USE STATE: IF YOU ARE STORING THE SITTER ELITE FOR AN EXTENDED PERIOD OF TIME, YOU SHOULD TURN THE ALARM OFF AND REMOVE THE BATTERIES. BATTERIES START TO CORRODE AFTER AN EXTENDED PERIOD OF TIME. CORRODED BATTERIES WILL DAMAGE THE ALARM AND MAY CAUSE IT NOT TO FUNCTION, OR TO FUNCTION INTERMITTENTLY. (B)(4).
Description of Event or Problem · 1
A SALES REPRESENTATIVE REPORTED THAT A CUSTOMER HAS AN ALARM AND DID NOT REMOVE THE BATTERIES WHEN NOT IN USE. AS A RESULT, THERE APPEARS TO BE SOME VISIBLE BATTERY LEAKAGE IN THE BATTERY COMPARTMENT. IT APPEARS THAT THE BATTERY EXPLODED. THE DATE THE ISSUE WAS DISCOVERED WAS NOT KNOWN. NO PATIENT INCIDENT OR INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 191055 | SITTER ELITE | KMI | J. T. POSEY CO. | 8345 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | MAGNET 8345M |