MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 08 report with the FDA on 2015-03-24 for POSEY BED 8070 manufactured by Jt Posey Company.
[5658021]
Customer reported the zipper will no longer zip up. This was discovered while in use and there was no patient injury reported.
Patient Sequence No: 1, Text Type: D, B5
[13113169]
Inspection of the unit found an open zipper slider on the patient access window. In addition, the mattress envelope was delaminated, there was a 1 inch netting tear, and the zipper pull tab was missing on the leg of the head panel. Posey beds are multi-use, serviceable items. As such, it is anticipated that the units may occasionally require repair, and as part of standard care the beds should be inspected prior to use. If damage is noted during these routine bed inspections, the unit should not put into use with a patient and should be returned to posey for servicing. If the zipper slider body is bent open (i. E. , the mouth is wider than manufacturing specifications) it can prevent the slider from properly engaging the zipper teeth. In areas where the slider engages the teeth, the zipper is secure and cannot be opened. However, if the teeth do not engage it can potentially leave an unsecured area. Applying pressure directly to the unsecured area will reveal the breach, which is why the user manual advises caregivers to apply direct pressure along the entire length of the zipper. In order for an open slider to potentially contribute to patient egress, the following must occur: 1) the slider does not engage the teeth, 2) the caregiver does not properly check the zipper prior to leaving the patient unattended, and 3) the patient identifies the unsecured area and exits the bed. Following the ifu and standard servicing protocols, the user can identify any open sliders prior to use and return the bed for repair. In this case, there was no impact or consequence to the patient and the canopy was returned for servicing when the zipper issues were identified. Although the cause of the open slider cannot be confirmed, it is possible that an excessive amount of force was applied to the pull tab, which could have bent the slider body open. Of note, the canopy was 40 months old, an excessive amount of damage was observed, and there was evidence of improper laundering (material delamination). Service issues are trended and reviewed by management on a monthly basis. As part of this monthly review, trends and excursions above control limits will be assessed, documented and acted upon as warranted. No corrective or preventative actions are necessary at this time.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 2020362-2015-00038 |
| MDR Report Key | 4629145 |
| Report Source | 08 |
| Date Received | 2015-03-24 |
| Date of Report | 2015-03-18 |
| Date of Event | 2015-02-19 |
| Date Mfgr Received | 2015-03-10 |
| Device Manufacturer Date | 2011-11-01 |
| Date Added to Maude | 2015-03-24 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Contact | WILLIAM HINCY |
| Manufacturer Street | POSEY COMPANY 5635 PECK ROAD |
| Manufacturer City | ARCADIA CA 91006 |
| Manufacturer Country | US |
| Manufacturer Postal | 91006 |
| Manufacturer Phone | 6264433143 |
| Manufacturer G1 | POSEY, S. DE R.L. DE C.V. |
| Manufacturer Street | AVE. FERROCARRIL NO. 16901. BO COLONIA RIO TIJUANA, 3RA. ETAP |
| Manufacturer City | TIJUANA 22664 |
| Manufacturer Country | MX |
| Manufacturer Postal Code | 22664 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | POSEY BED |
| Generic Name | PATIENT BED WITH CANOPY/RESTRAINTS |
| Product Code | OYS |
| Date Received | 2015-03-24 |
| Model Number | 8070 |
| Catalog Number | 8070 |
| Lot Number | NA |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | JT POSEY COMPANY |
| Manufacturer Address | 5635 PECK ROAD ARCADIA CA 91006002 US 91006 0020 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2015-03-24 |