FDA Adverse Event
Injury
Summary report: N
WAFFLE HEEL PROTECTORS
MDR report key: 17143564
·
Received June 15, 2023
Report
- Report Number
- MW5118434
- Event Type
- Injury
- Date Received
- June 15, 2023
- Date of Event
- June 4, 2023
- Report Date
- June 13, 2023
- Manufacturer
- EHOB INC.
- Product Code
- FMP
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- FL, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
THE PATIENT DEVELOPED LEFT POSTERIOR HEEL DECUBITIS ULCER ON THE LEFT HEEL POTENTIALLY DUE TO THE WAFFLE BOOT THAT THE PATIENT WAS WEARING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 709506 | WAFFLE HEEL PROTECTORS | PROTECTOR, SKIN PRESSURE | FMP | EHOB INC. | 345CX | 23491BA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 64 YR | Male | Required Intervention |