FDA Adverse Event Malfunction Summary report: N

POSEY SITTER ELIT

MDR report key: 4180377 · Received October 15, 2014

Report

Report Number
2020362-2014-00333
Event Type
Malfunction
Date Received
October 15, 2014
Report Date
October 2, 2014
Manufacturer
J. T. POSEY CO.
Product Code
KMI
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION OF THE ALARM FOUND THERE IS A NOTE ON THE UNIT STATING "KEEP BEEPING". THE NOTE ON THE UNIT IS NOT CONFIRMED, THE UNIT DOES NOT SOUND CONTINUOUSLY WHEN IN USE WITH THE PULL MAGNET. THE PRE-RECORDED VOICE MESSAGE DOES NOT PLAY - ONLY A CLICKING SOUND IS HEARD WHEN WEIGHT IS REMOVED FROM THE SENSOR OR WHEN THE PULL MAGNET IS REMOVED WHEN IS DUE TO A DEFECTIVE VOICE CHIP. THE TONE PLAYS PROPERLY. NO PHYSICAL DAMAGE OBSERVED TO THE UNIT. (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED THE ALARM IS NOT FUNCTIONING PROPERLY. CUSTOMER HAS LIMITED INFO. CUSTOMER COULD NOT PROVIDE THE DATE OF EVENT. NO PT INCIDENT OR INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
655373 POSEY SITTER ELIT KMI J. T. POSEY CO. 8345 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK MAGNET: 8345M