FDA Adverse Event Malfunction Summary report: N

POSEY SITTER ELITE

MDR report key: 3904692 · Received May 22, 2014

Report

Report Number
2020362-2014-00201
Event Type
Malfunction
Date Received
May 22, 2014
Report Date
April 23, 2014
Manufacturer
J. T. POSEY COMPANY
Product Code
KMI
PMA / PMN Number
EXEMPT
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULTS: EVALUATION OF THE RETURNED PRODUCT CONFIRMED THE REPORTED ISSUE THE NURSE CALL FEATURE DOES NOT TURN ON WHEN WEIGHT IS REMOVED FROM THE SENSOR PAD. ADDITIONALLY, THE MODE FEATURE DOES NOT SWITCH BETWEEN VOICE ONLY AND MUTE. THE UNIT PASSED ALL OTHER FUNCTIONAL TESTING. NO PHYSICAL DAMAGE TO THE UNIT WAS OBSERVED. (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED THE ALARM DOES NOT SOUND AT THE NURSE CALL STATION. THE NURSE CALL CABLE WAS TESTED WITH A KNOWN WORKING ALARM AND THE NURSE CALL CABLE FUNCTIONS PROPERLY. THE DATE THE ISSUE WAS DISCOVERED IS UNKNOWN. NO PATIENT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
306504 POSEY SITTER ELITE KMI J. T. POSEY COMPANY 8345 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK NURSE CALL CABLE, MODEL 8282, LOT # UNKNOWN