DISPOSABLE BED SENSOR BELT
Received Jul 27, 2023
Report 2182318-2023-00068 · MDR key 17406328
Device
Generic name
Fall Prevention Alarm/sensor Attached Only
Manufacturer
Tidi Products LlcModel number
8398Catalog number
8398
Lot number
2235T061
Product problems
- No Audible Alarm
- No Audible Alarm
Patient
Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
H3: EVALUATION OF THE RETURNED PRODUCT FOUND THE UNIT DID NOT RECOGNIZE THE SENSOR BELT WHEN PLUGGED IN TO THE UNIT SENSOR RECEPTACLES. ADDITIONALLY, IT DID NOT SOUND WHEN THE HOOK AND LOOP WERE DISENGAGED DUE TO A BROKEN BLACK WIRE INSIDE. THE BLACK WIRE BROKE OFF AS IT WAS PUNCTURED BY A NEEDLE DURING THE STITCHING PROCESS OF INSTALLING THE WHITE LOOP FASTENER. POSSIBLE ROOT CAUSES FOR THIS DEFICIENCY: 1.) THE BLACK WIRE WAS NOT COMPLETELY BROKEN DURING THE STITCHING PROCESS AND WAS FUNCTIONING AS INTENDED DURING THE FINAL INSPECTION, BUT AFTER A PERIOD OF TIME THE WIRE BROKE OFF CAUSING FOR NOT FUNCTIONING AS INTENDED, 2.) THE SENSOR BELT WAS NOT PART OF THE AQL (ACCEPTABLE QUALITY LIMIT) SAMPLES AT THE FINAL INSPECTION STEP. THE QUALITY DEPARTMENT AT THE TIJUANA FACILITY WAS MADE AWARE OF THE FINDING TO PREVENT THIS ISSUE FROM REOCCURRING. A REVIEW OF THE COMPLAINT DATABASE DID NOT REVEAL ANY SIMILAR FINDING OF PUNCTURED WIRE CAUSING TO BREAK APART AGAINST THIS DEVICE IN THE PAST 2 YEARS. THEREFORE, IT APPEARS THIS COMPLAINT WAS AN ISOLATED EVENT. THE INSTRUCTIONS FOR USE- IFU WERE REVIEWED AND FOUND TO PROVIDE ADEQUATE INSTRUCTIONS AND WARNINGS FOR SAFE AND EFFECTIVE USE OF THE DEVICE. THE IFU STATES NEVER JERK OR PULL ON CORD TO REMOVE PLUG FROM ALARM. DOING SO MAY DAMAGE THE CORD OR PLUG AND MAY CAUSE THE BELT TO FAIL. ALWAYS USE PLASTIC TAB TO RELEASE THE PLUG. IF VELCRO STRAPS BECOME WET, ALARM MAY NOT SOUND. EXCESS MOISTURE MAY PREVENT SENSOR FROM ACTIVATING, INCREASING RISK OF INJURY. IF STRAPS BECOME WET, DISCONTINUE USE UNTIL COMPLETELY DRY. IF NECESSARY, USE A STIFF BRUSH TO REMOVE DUST AND LINT FROM HOOK- AND-LOOP. ALL COMPLAINTS ARE TRENDED AND REVIEWED BY MANAGEMENT ON A MONTHLY BASIS. AS A PART OF THE MONTHLY REVIEW, ANY EXCURSION ABOVE THE CONTROL LIMITS FOR THIS FAILURE MODE WILL BE ASSESSED, DOCUMENTED AND ACTED UPON AS WARRANTED. MANUFACTURER REFERENCE FILE (B)(4).
Description of Event or Problem
CTS REPORTED COMPLAINT VIA EMAIL. ITEM 8398 IS NOT PROPERLY CONNECTING TO THE ALARM AND WILL NOT FUNCTION AS INTENDED. CTS HAS MADE ATTEMPTS OF TROUBLESHOOTING, CANNOT RESOLVE. LOT #2235T061.