FDA Adverse Event
Other
Summary report: N
SHOE COVER, ANTI-SKID
MDR report key: 499991
·
Received December 9, 2003
Report
- Report Number
- 1423507-2003-00145
- Event Type
- Other
- Date Received
- December 9, 2003
- Report Date
- December 9, 2003
- Manufacturer
- CARDINAL HEALTH
- Product Code
- FXP
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
NOT SUFFICENT TREAD TO PREVENT FALLING. ONE NURSE SLIPPED AND FELL WHILE WEARING SHOE COVERS. IT IS NOT KNOWN WHAT THE CONDITION OF THE FLOOR WAS OR WHAT ACTIVITY THE NURSE WAS PERFORMING. THE NURSE HIT THEIR ELBOW AND WENT TO URGENT CARE. THE TREATMENT WAS TYLENOL, ICE AND REST. THE NURSE MISSED 2 DAYS OF WORK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SHOE COVER, ANTI-SKID | SHOE COVER, ANTI-SKID | FXP | CARDINAL HEALTH | 2852 | 03HAK2375 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Other |