FDA Adverse Event Summary report: N

DR. SCHOLL'S CUSTOM FIT ORTHOTICS

MDR report key: 2894093 · Received March 9, 2012

Report

Report Number
1031623-2012-11369
Date Received
March 9, 2012
Report Date
March 8, 2012
Manufacturer
SCHERING-PLOUGH CORP
Product Code
KNP
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

A SERIOUS U.S SPONTANEOUS REPORT RECEIVED REGARDING A FEMALE CONSUMER. AGE NOT PROVIDED AND INITIALS ANONYMIZED. MEDICAL HISTORY AND CONCOMITANT MEDICATION NOT PROVIDED. DR SCHOLL'S CUSTOM FIT ORTHOTICS (B)(4) WERE WORN FOR AN UNK INDICATION. THERAPY DATES NOT SPECIFIED. CONSUMER REPORTED THAT SHORTLY AFTER PURCHASE OF DR SCHOLL'S CUSTOM FIT ORTHOTICS, SHE EXPERIENCED A "FRACTURED THIRD METATARSAL IN RIGHT FOOT AND UNDERWENT TREATMENT FOR NEARLY TWO MONTHS." AFTER RETURNING TO NORMAL ACTIVITY, SHE REPORTED THE ORTHOTICS TO BE UNCOMFORTABLE AND CAUSED HER INJURED FOOT TO ACHE WHEN SHOES WERE REMOVED. OUTCOME: RECOVERED/RESOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DR. SCHOLL'S CUSTOM FIT ORTHOTICS NONE KNP SCHERING-PLOUGH CORP

Patients

Seq Age Sex Outcome Treatment
1 Other