FDA Adverse Event Other Summary report: N

SKIL-CARE

MDR report key: 2982434 · Received June 1, 2006

Report

Report Number
2431497-2006-00001
Event Type
Other
Date Received
June 1, 2006
Date of Event
May 15, 2006
Report Date
May 22, 2006
Manufacturer
SKIL-CARE CORP.
Product Code
IKX
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

RESIDENT REPORTED TO BE AT NURSING HOME - (B)(6).

Description of Event or Problem · 1

PATIENT FELL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SKIL-CARE GAIT BELT IKX SKIL-CARE CORP. UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Other