BEUDAMED
    FDA Adverse Event Other Summary report: N

    SHOE COVER, GRIPPER, NON-SKID

    MDR report key: 209672 · Received February 11, 1999

    Report

    Report Number
    1417592-1999-00006
    Event Type
    Other
    Date Received
    February 11, 1999
    Date of Event
    November 25, 1998
    Report Date
    January 13, 1999
    Manufacturer
    MEDLINE INDUSTRIES, INC.
    Product Code
    BWP
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORTEDLY, TWO NURSES FELL FORWARD WHILE WEARING SHOE COVERS. ONE NURSE REC'D A SORE KNEE, NO MEDICAL TREATMENT WAS REQUIRED. THE OTHER NURSE BROKE HER JAW, NOSE AND SOME TEETH. THE SECOND NURSE REQUIRED TO HAVE HER JAW WIRED AND SOME DENTAL SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SHOE COVER, GRIPPER, NON-SKID SHOE COVER BWP MEDLINE INDUSTRIES, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other