FDA Adverse Event
Injury
Summary report: N
UNKNOWN
MDR report key: 3815724
·
Received May 7, 2014
Report
- Report Number
- 3815724
- Event Type
- Injury
- Date Received
- May 7, 2014
- Date of Event
- March 18, 2014
- Report Date
- May 6, 2014
- Manufacturer
- UNK
- Product Code
- ITQ
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- MA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
RESIDENT WAS ADMITTED TO CENTER WITH A NECROTIC AREA ON HER RIGHT CALF UNDER THE KNEE IMMOBILIZER WITHOUT A TREATMENT. THEREFORE, WHEN KNEE IMMOBILIZER REMOVED, PATIENT NOTED TO HAVE STAGE IV PRESSURE AREA ON RIGHT CALF. THE IMMOBILIZER WAS REMOVED BY THE DOCTOR'S OFFICE AND DISCARDED(?), THEREFORE USER FACILITY HAS NO INFORMATION REGARDING THE KNEE IMMOBILIZER MANUFACTURER, MODEL, SN, ETC.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 276733 | UNKNOWN | UNKNOWN | ITQ | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 82 YR |