Brand Name | 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 |
roxana
koussa
|
5635 peck rd. |
arcadia, CA 91006
|
6264433143
|
|
MDR Report Key | 4451372 |
MDR Text Key | 21726288 |
Report Number | 2020362-2015-00020 |
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 |
01/12/2015 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/23/2015 |
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? |
Yes
|
Date Returned to Manufacturer | 01/05/2015 |
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 01/12/2015 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 02/01/2012 |
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 | NURSE CALL CABLE, PART #: 8282 |
|
|