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 |