FDA Adverse Event Malfunction Summary report: N

SITTER ELITE

MDR report key: 7729054 · Received July 27, 2018

Report

Report Number
2020362-2018-00086
Event Type
Malfunction
Date Received
July 27, 2018
Report Date
May 24, 2018
Manufacturer
POSEY PRODUCTS LLC
Product Code
PJO
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS DEVICE WAS PREVIOUSLY REPORTABLE UNDER THE ASR EXEMPTION E2015006, WHICH WAS REVOKED ON 2018/06/28, RESULTING IN THIS MDR SUBMISSION. THE DEVICE WAS RECEIVED IN WITH SIGNS OF DROPPING OR BUMPING. SCRATCHES TO THE EXTERIOR HOUSING, BATTERY COMPARTMENT AND A MISSING BATTERY DOOR WAS OBSERVED. THE UNIT PASSED ALL FUNCTIONAL TESTING WHEN USED WITH A SENSOR PAD. HOWEVER, THE DEVICE DID NOT SOUND WHEN IN USE WITH THE PULL MAGNET. UPON OPENING THE UNIT, A FAULTY REED SWITCH WAS NOTED. BEING THAT THE DEVICE IS OVER THREE YEARS OLD, IT IS LIKELY THE CAUSE IS EXPECTED NORMAL WEAR AND TEAR. AT THIS TIME, THERE IS NO EVIDENCE THAT A MANUFACTURING NON-CONFORMITY CONTRIBUTED TO THE REPORTED COMPLAINT AND THE INSTRUCTIONS FOR USE WERE REVIEWED AND DETERMINED TO PROVIDE ADEQUATE INSTRUCTIONS AND WARNING FOR THE SAFE AND EFFECTIVE USE OF THE DEVICE. THEREFORE, NO CORRECTIVE OR PREVENTATIVE ACTIONS ARE NECESSARY. ALL COMPLAINTS ARE TRENDED AND REVIEWED BY MANAGEMENT ON A MONTHLY BASIS. AS PART OF THIS MONTHLY REVIEW, ANY EXCURSION ABOVE THE CONTROL LIMITS FOR THIS FAILURE MODE WILL BE ASSESSED, DOCUMENTED AND ACTED UPON AS WARRANT. (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED THE ALARMS IS NOT SOUNDING WHEN POWERED UP AND THE LIGHT FLASHES WHEN SET TO VOICE AND TONE. THE DATE THE ISSUE WAS DISCOVERED IS UNKNOWN AND NO PATIENT INCIDENT OR INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
570545 SITTER ELITE FALL PREVENTION ALARM/SENSOR COMBINATION ATTACHED OR UNATTACHED PJO POSEY PRODUCTS LLC 8345

Patients

Seq Age Sex Outcome Treatment
1