FDA Adverse Event Malfunction Summary report: N

POSEY BED

MDR report key: 3856487 · Received April 18, 2014

Report

Report Number
2020362-2014-00156
Event Type
Malfunction
Date Received
April 18, 2014
Report Date
February 27, 2014
Manufacturer
J. T. POSEY COMPANY
Product Code
OYS
PMA / PMN Number
K113355
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULTS: EVALUATION OF THE RETURNED PRODUCT CONFIRMED THE REPORTED ISSUE. THE PATIENT ACCESS PANEL SIDE B ZIPPER SLIDER BODY IS OPEN. WINDOW SIDE A, INSERT PIN IS RIPPED FROM ZIPPER TAPE. (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED THAT THE PULL TAB HAS BROKEN OFF THE ZIPPER LOCATED AT THE RIGHT SIDE PANEL. THE DATE THE ISSUE WAS DISCOVERED IS UNKNOWN. NO PATIENT INCIDENT OR INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
238820 POSEY BED OYS J. T. POSEY COMPANY 8060 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK