POSEY CUFFLATOR ENDO TUBE INFLATOR & MANOMETER 8199

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2012-11-16 for POSEY CUFFLATOR ENDO TUBE INFLATOR & MANOMETER 8199 manufactured by J. T. Posey Company.

Event Text Entries

[18048486] The customer reported that the unit the needle stuck at about 40 mmhg mark. The customer did not provide the date when this was discovered. There was no pt incident or injury reported.
Patient Sequence No: 1, Text Type: D, B5


[18051445] Eval results: eval of the returned product did not confirm the reported issue. The needle on the dial plate is at 42 mmhg. The needle moves up and holds pressure but when the pressure is released the needle returned to 75 mmhg. The rubber protective ring is missing from the cufflator. Note: the instructions for use state: the cufflator should be calibrated annually, or if measurements fall outside of a set range, or if the cufflator needle does not indicate a reading of zero when nothing is connected, or if the unit is ever dropped. Never open the posey cufflator body. If the posey cufflator body is opened, any damages that result will not be covered under warranty. Return all cufflator to the posey company for repair. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2020362-2012-00653
MDR Report Key2894262
Report Source05,06
Date Received2012-11-16
Date of Report2012-10-25
Date Mfgr Received2012-11-06
Date Added to Maude2013-02-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactPAM WAMPLER
Manufacturer Street5635 PECK RD.
Manufacturer CityARCADIA CA 91006
Manufacturer CountryUS
Manufacturer Postal91006
Manufacturer Phone6264433143
Manufacturer G1J. T. POSEY COMPANY
Manufacturer Street5635 PECK RD.
Manufacturer CityARCADIA CA 91006
Manufacturer CountryUS
Manufacturer Postal Code91006
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NamePOSEY CUFFLATOR ENDO TUBE INFLATOR & MANOMETER
Product CodeBSK
Date Received2012-11-16
Returned To Mfg2012-11-02
Model Number8199
Catalog Number8199
Lot Number1014688
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerJ. T. POSEY COMPANY
Manufacturer AddressARCADIA CA US


Patients

Patient NumberTreatmentOutcomeDate
10 2012-11-16

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