FDA Adverse Event Malfunction Summary report: N

POSEY BED

MDR report key: 3881056 · Received April 8, 2014

Report

Report Number
2020362-2014-00129
Event Type
Malfunction
Date Received
April 8, 2014
Report Date
February 28, 2014
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
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULTS: EVALUATION OF THE RETURNED PRODUCT FOUND AN OPEN SLIDER BODY ON THE PATIENT ACCESS AND THE MATTRESS ENVELOPE DELAMINATED ON PANEL SIDE A. THE ELASTIC ON PANEL SIDE D IS ALSO TORN. (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED ZIPPER DAMAGE ON PANEL SIDE B. CUSTOMER DID NOT PROVIDE A DATE WHEN ISSUE WAS DISCOVERED. NO PATIENT INCIDET OR INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
211822 POSEY BED OYS OYS J. T. POSEY CO. 8060 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK