BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MARK II, URIXSON, HIP POSITIONER

    MDR report key: 58898 · Received December 26, 1996

    Report

    Report Number
    58898
    Event Type
    Injury
    Date Received
    December 26, 1996
    Date of Event
    May 16, 1996
    Report Date
    July 11, 1996
    Manufacturer
    INNOMED, INC.
    Product Code
    KIL
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    WHEN REMOVING THE HIP POSITIONER AFTER THE CASE IT WS NOTED THAT THE POSTERIOR POST WAS BENT AND WAS PROTRUDING INTO THE PT R BUTTOCK. TISSUE WAS REDDENED WITH WHITE INDENTATION BUT NO BREAKDOWN NOTED AT THAT TIME. AREA WAS 4" X 4".

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MARK II, URIXSON, HIP POSITIONER HIP POSITIONER KIL INNOMED, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR