BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SITTER ELITE

    MDR report key: 7755554 · Received August 7, 2018

    Report

    Report Number
    2020362-2018-00067
    Event Type
    Malfunction
    Date Received
    August 7, 2018
    Report Date
    July 10, 2018
    Manufacturer
    POSEY PRODUCTS LLC
    Product Code
    PJO
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NV, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE WAS RETURNED AND ANALYZED. ANALYSIS DID NOT CONFIRM THE ALLEGED FAILURE OF THE ALARM ALERTING WHEN IT WASN'T SUPPOSED TO. THE DEVICE WAS RECEIVED IN WITH SCRATCHES TO THE EXTERIOR HOUSING AND MISSING BATTERY DOOR. THE BATTERY COMPARTMENT ALSO SHOWED SIGNS OF BATTERY CORROSION WITH WHITE POWDER RESIDUE OBSERVED ON THE BATTERY CONTACT, SPRINGS AND COMPARTMENT WALL. DURING FUNCTIONAL TESTING, THE UNIT DID NOT SOUND WHEN IN USE WITH THE PULL MAGNET AND SENSOR PAD. UPON OPENING THE DEVICE, BATTERY CORROSION WAS FOUND ON DIFFERENT PARTS OF THE PRINTED CIRCUIT BOARD. THIS LOSS OF FUNCTIONALITY WOULD RESULT IN THE ALARM'S FAILURE TO ALERT THE CAREGIVER OF A PATIENT EXIT AND COULD CONTRIBUTE TO A PATIENT INCIDENT. BEING THAT THE DEVICE IS OVER FIVE YEARS OLD, IT IS LIKELY EXPECTED NORMAL WEAR AND TEAR CONTRIBUTED TO THE DEFECT. AT THIS TIME, THERE IS NO EVIDENCE THAT A MANUFACTURING NON-CONFORMITY CONTRIBUTED TO THE REPORTED COMPLAINT AND THE INSTRUCTIONS FOR USE (IFU) WERE REVIEWED AND DETERMINED TO PROVIDE ADEQUATE INSTRUCTIONS AND WARNING FOR THE SAFE AND EFFECTIVE USE OF THE DEVICE. THE IFU STATES "TO REDUCE THE RISK OF SERIOUS INJURY OR DEATH, TEST THE ALARM AND SENSOR FOR PROPER OPERATION PRIOR TO PUTTING IN SERVICE WITH A PATIENT, AND EACH TIME BEFORE LEAVING THE PATIENT UNATTENDED. IF THE ALARM AND/OR SENSOR DO NOT FUNCTION PROPERLY, REMOVE THE ALARM AND SENSOR FROM SERVICE AND REPLACE THEM WITH A PROPERLY FUNCTIONING ALARM AND/OR SENSOR. DO NOT USE THE ALARM, SENSOR OR MAGNET IF IT DOES NOT ACTIVATE EACH TIME WEIGHT IS REMOVED FROM THE SENSOR, THE CHAIR BELT SENSOR IS UNFASTENED, OR MAGNET IS REMOVED FROM FACE PLATE." 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 ALARM GOES OFF WHEN WEIGHT IS ON A NEW SENSOR. INVESTIGATION FOUND THE UNIT HAS NO SOUND. 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
    596590 SITTER ELITE FALL PREVENTION ALARM/SENSOR COMBINATION ATTACHED OR UNATTACHED PJO POSEY PRODUCTS LLC 8345

    Patients

    Seq Age Sex Outcome Treatment
    1