BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    P.A.S. STOCKINGS

    MDR report key: 43898 · Received October 21, 1996

    Report

    Report Number
    MW1010107
    Event Type
    Malfunction
    Date Received
    October 21, 1996
    Date of Event
    October 8, 1996
    Report Date
    October 10, 1996
    Manufacturer
    ALBA-WALDENSIAN, INC.
    Product Code
    JOW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    STOCKINGS WERE REMOVED AFTER NOTING 2 INDENTATIONS ON PT'S ANKLES. ALSO NOTED SEVERE INDENTATIONS BELOW KNEES. STOCKINGS WERE ON PROPERLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 P.A.S. STOCKINGS PULSATILE ANTI-EMBOLISM STOCKINGS JOW ALBA-WALDENSIAN, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR