FDA Adverse Event Malfunction Summary report: N

POSEY BED

MDR report key: 3221335 · Received July 1, 2013

Report

Report Number
2020362-2013-00302
Event Type
Malfunction
Date Received
July 1, 2013
Report Date
June 6, 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
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PRODUCT WAS REQUESTED TO BE RETURNED FOR EVALUATION AND HAS NOT BEEN RECEIVED. NOTE: THIS REPORT IS SUBMITTED BASED ON THE CUSTOMERS REPORTED ISSUE STATEMENT. NOTE: INSTRUCTIONS FOR USE STATES: NEVER USE THE BED IF A ZIPPER SLIDER IS BENT OPEN OR DAMAGED AND THE ZIPPER CANNOT BE ZIPPED COMPLETELY CLOSED. NEVER USE THE BED IF A ZIPPER COIL IS KINKED, MISALIGNED, OR HAS GAPS AND DOES 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. BEFORE LEAVING THE PATIENT ALONE, APPLY PRESSURE WITH YOUR HANDS ALONG THE ENTIRE LENGTH OF THE ZIPPER TO MAKE SURE THE PANEL IS SECURELY CLOSED AND THAT THERE ARE NO GAPS OR OPENINGS ALONG THE ENTIRE LENGTH OF EACH ZIPPER. MANUFACTURER REFERENCES FILE NUMBER (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED THAT THE LEFT SIDE PANEL ZIPPER WILL NOT SECURE CLOSE AND THE TEETH ARE SEPARATING. NO PATIENT INCIDENT OR INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
297414 POSEY BED OYS J. T. POSEY CO. 8060 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK