FDA Adverse Event Summary report: N

ACTIVECARE

MDR report key: 2282298 · Received September 30, 2011

Report

Report Number
2282298
Date Received
September 30, 2011
Date of Event
May 22, 2011
Report Date
September 28, 2011
Manufacturer
MEDICAL COMPRESSION SYSTEMS LTD.
Product Code
JOW
Report Source
User Facility report
Reporter Location
CA, US

Narratives

Description of Event or Problem · 1

SEQUENTIAL COMPRESSION STOCKINGS CAUSED BILATERAL ACHILLES TENDON PRESSURE ULCERS: BLISTERING/STAGE II. COTTON STOCKINETTS WERE NOT USED DUE TO MOISTURE PRODUCTION AND BUNCHING UP WHEN USED UNDER THE CALF SLEEVE. ======================MANUFACTURER RESPONSE FOR SEQUENTIAL COMPRESSION DEVICE, ACTIVE CARE (PER SITE REPORTER).======================THERE WERE COMORBITIES THAT PRE-DISPOSITIONED THE PATIENT FOR PRESSURE ULCER. MAY HAVE BEEN USER ISSUE IE: FREQUENCY OF SKIN CHECKS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACTIVECARE SEQUENTIAL COMPRESSION DEVICE JOW MEDICAL COMPRESSION SYSTEMS LTD. DVT 1112301

Patients

Seq Age Sex Outcome Treatment
1 34 YR CARDIAC DRUGS| LONG-TERM ANTIBIOTICS