BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MEDLINE SHOE

    MDR report key: 14618688 · Received June 7, 2022

    Report

    Report Number
    14618688
    Event Type
    Malfunction
    Date Received
    June 7, 2022
    Date of Event
    March 21, 2022
    Report Date
    June 1, 2022
    Manufacturer
    MEDLINE INDUSTRIES, LP
    Product Code
    FXP
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CT
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    SOME OF MY STAFF MEMBERS ARE REPORTING THAT OUR NEW OR SHOE COVERS (BLUE BOOTIES) ARE SLIPPERY. I HAD ONE STAFF MEMBER RELATE THEM TO HER FALL A FEW WEEKS AGO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1321208 MEDLINE SHOE COVER, SHOE, OPERATING-ROOM FXP MEDLINE INDUSTRIES, LP NON28859

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown