BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SKIL-CARE

    MDR report key: 2392881 · Received February 1, 2007

    Report

    Report Number
    2392881
    Event Type
    Malfunction
    Date Received
    February 1, 2007
    Date of Event
    December 26, 2006
    Report Date
    January 2, 2007
    Manufacturer
    SKIL-CARE CORP
    Product Code
    KNO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    VELCRO STRAP BECAME LOOSE AND PT FELL AND FRACTURED HER RIGHT HIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SKIL-CARE BOLSTER KNO SKIL-CARE CORP NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 98 YR Other