BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ABDUCTION PILLOW

    MDR report key: 33962 · Received May 17, 1996

    Report

    Report Number
    33962
    Event Type
    Injury
    Date Received
    May 17, 1996
    Date of Event
    May 11, 1996
    Report Date
    May 14, 1996
    Manufacturer
    DEROYAL INDUSTRIES
    Product Code
    IOZ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    IA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT UNDERWENT A LEFT TOTAL HIP PROCEDURE ON 5/10/96. ON THE MORNING OF 5/11/96, THE PT WAS NOTED TO HAVE LEFT FOOT DROP. THE PHYSICIAN INDICATED THE PT PROBABLY HAS LEFT PERONEAL NERVE PALSY SECONDARY TO A TIGHT STRAP FROM THE ABDUCTION PILLOW AROUND THE PT'S LEFT CALF. HE ALSO STATED THAT THE PT IS SUSCEPTIBLE DUE TO PRE-OP BACK PROBLEMS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ABDUCTION PILLOW ABDUCTION PILLOW WITH CONCAVE PILLOW IOZ DEROYAL INDUSTRIES UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Required Intervention