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 |