FDA Adverse Event Malfunction Summary report: N

POSEY KEEPSAFE DELUXE

MDR report key: 3180144 · Received June 4, 2013

Report

Report Number
2020362-2013-00248
Event Type
Malfunction
Date Received
June 4, 2013
Report Date
May 9, 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
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULTS: REPORTED ISSUE IS CONFIRMED, THE VOICE MESSAGE PLAYS WITH STATIC WHEN SET TO VOICE AND TONE. VISUAL INSPECTION FOUND THAT THERE IS CORROSION FROM BATTERY LEAKAGE ON FLAT CONTACTS AND A BATTERY DOOR IS MISSING. NOTE: THE INSTRUCTIONS FOR USE HAS A STATEMENT: TAKE CARE WHEN INSTALLING NEW BATTERIES. THE ALARM WILL NOT WORK IF BATTERIES ARE INSTALLED IMPROPERLY. ALWAYS INSTALL A COMPLETELY NEW SET OF BATTERIES WHEN THE CHIRPING DUE TO LOW BATTERY POWER SOUND BEGINS. DO NOT REPLACE A SINGLE CELL, BUT ALL CELLS IN THE ALARM. DO NOT MIX OLD AND NEW BATTERIES, OR BATTERY BRANDS WITHIN A BATTERY PACK (4 BATTERIES). USE OF MIXED BATTERIES OR BATTERIES INSTALLED INCORRECTLY MAY CAUSE BATTERY DAMAGE, AND MAY DAMAGE THE ALARM. REMOVE ANY ALARM FROM USE AND SEND TO THE APPROPRIATE FACILITY AUTHORITY IF BATTERIES ARE DAMAGED OR CORRODED OR THE BATTERY COMPARTMENT HAS SIGNS OF PREVIOUS BATTERY CORROSION SUCH AS WHITE POWDER RESIDUE. (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED WHEN THE ALARM IS SET TO VOICE ONLY MODE THAT STATIC CAN BE HEARD. THE CUSTOMER DID NOT PROVIDE THE DATE WHEN THE ISSUE WAS FOUND. NO PT INCIDENT OR INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
247604 POSEY KEEPSAFE DELUXE KMI J. T. POSEY CO. 8374 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK OVER-THE-MATTRESS SENSOR PAD: MODEL 8307, LOT# UNK