Brand Name | POSEY KEEPSAFE DELUXE |
Manufacturer (Section D) |
J. T. POSEY CO. |
arcadia CA |
|
Manufacturer (Section G) |
J. T. POSEY CO. |
5635 peck rd. |
|
arcadia CA 91006 |
|
Manufacturer Contact |
mary
segura
|
5635 peck rd. |
arcadia, CA 91006
|
6264433143
|
|
MDR Report Key | 4121591 |
MDR Text Key | 4919181 |
Report Number | 2020362-2014-00251 |
Device Sequence Number | 1 |
Product Code |
KMI
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | EXEMPT |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional,User Facility |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
06/27/2014 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 07/29/2014 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | 8374 |
Device Catalogue Number | 8374 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 07/14/2014 |
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 06/27/2014 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 04/01/2011 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
Treatment | CHAIR SENSOR, SQUARE, 6-MONTH, MODEL 8308,; LOT # UNKNOWN. |
|
|