FDA Adverse Event Malfunction Summary report: N

SITTER ELITE

MDR report key: 7844045 · Received September 4, 2018

Report

Report Number
2020362-2018-00110
Event Type
Malfunction
Date Received
September 4, 2018
Report Date
August 10, 2018
Manufacturer
POSEY PRODUCTS LLC
Product Code
PJO
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

TESTING OF THE RETURNED UNIT CONFIRMED THE REPORTED ISSUE OF THE ALARM NOT SENDING A SIGNAL TO THE NURSE CALL STATION DUE TO A FAULTY NURSE CALL RELAY. ROOT CAUSE FOR THE FAILURE COULD NOT BE DETERMINED. HOWEVER, DUE TO THE PRODUCT BEING OVER A YEAR OLD, IT'S POSSIBLE WEAR AND TEAR CONTRIBUTED TO THE FAILURE. REVIEW OF THE DEVICE HISTORY RECORD SHOWED THE DEVICE PASSED ALL PRODUCT VERIFICATION TESTING AND MET SPECIFICATIONS PRIOR TO BEING SHIPPED. 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 THE ALARM IS NOT SENDING A SIGNAL TO THE NURSE'S STATION. CUSTOMER TRIED ANOTHER CABLE BUT PROBLEM PERSISTED. CUSTOMER CONFIRMED THE CABLE CONNECTED SECURELY AND THERE WERE NO NOTICEABLE DAMAGES TO THE NURSE CALL RECEPTACLE. 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
685249 SITTER ELITE FALL PREVENTION ALARM/SENSOR COMBINATION ATTACHED OR UNATTACHED PJO POSEY PRODUCTS LLC 8345

Patients

Seq Age Sex Outcome Treatment
1