BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    YELLOW SLIPP

    MDR report key: 3873862 · Received May 18, 2014

    Report

    Report Number
    3873862
    Event Type
    Malfunction
    Date Received
    May 18, 2014
    Date of Event
    May 9, 2014
    Report Date
    May 18, 2014
    Manufacturer
    WRIGHT PRODUCTS INC.
    Product Code
    FMR
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US

    Narratives

    Description of Event or Problem · 1

    TWO KNOWN FALLS/AND SEVERAL NEAR FALLS DUE TO SLIPPERY FLOOR IN MRI ROOM. YELLOW SLIPP FOUND TO HAVE A TEAR AND HAS BEEN LEAKING SUBSTANCE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    295215 YELLOW SLIPP DEVICE, TRANSFER, PATIENT FMR WRIGHT PRODUCTS INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR NO OTHER THERAPIES