FDA Adverse Event Malfunction Summary report: N

SITTER SELECT

MDR report key: 3190186 · Received June 10, 2013

Report

Report Number
2020362-2013-00252
Event Type
Malfunction
Date Received
June 10, 2013
Report Date
April 23, 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
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULTS: EVALUATION OF THE RETURNED PRODUCT DID NOT CONFIRM THE REPORTED ISSUE. THE UNIT POWERED UP WITH NEW BATTERIES AND THE LOW BATTERY INDICATOR DOES NOT SOUND WHEN IT SHOULDN'T. ALTHOUGH THE UNIT PASSED ALL FUNCTIONAL TESTS, A BATTERY SPRING IS BADLY BENT. NOTE: INSTRUCTIONS FOR USE FOR BATTERY INSTALLATION STATES: HOLD ALARM VERTICALLY UPSIDE DOWN TO PREVENT THE BATTERY SPRINGS FROM BENDING DURING BATTERY INSTALLATION. AFTER CHANGING BATTERIES, TEST THE ALARM AND SENSOR FOR PROPER OPERATION PRIOR TO PUTTING IN SERVICE WITH A PT, AND EACH TIME BEFORE LEAVING THE PT UNATTENDED. IF THE ALARM AND/OR SENSOR DO NOT FUNCTION PROPERLY, REMOVE THE ALARM AND SENSOR FROM SERVICE AND REPLACE THEM WITH A PROPERLY FUNCTIONING ALARM AND/OR SENSOR. (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED THE LOW BATTERY INDICATOR CONTINUOUSLY SOUNDS. CUSTOMER REPLACED BATTERIES DAILY TO ENSURE THAT THE ALARM WILL FUNCTION PROPERLY TO PREVENT A FALL. CUSTOMER DID NOT KNOW WHEN THE ISSUE WAS DISCOVERED. NO PT INCIDENT OR INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
261964 SITTER SELECT KMI J. T. POSEY CO. 8361 NA

Patients

Seq Age Sex Outcome Treatment
1 NA