BEUDAMED
    FDA Adverse Event Other Summary report: N

    SHOECOVER/ANTISKID/FLUIDREST/UNI

    MDR report key: 632258 · Received September 1, 2005

    Report

    Report Number
    1423507-2005-00107
    Event Type
    Other
    Date Received
    September 1, 2005
    Date of Event
    July 19, 2005
    Report Date
    September 1, 2005
    Manufacturer
    CARDINAL HEALTH
    Product Code
    FXP
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WV, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IN 05 AN EMPLOYEE SLIPPED AND FELL IN THE BIRTHING SUITE WHILE WEARING CARDINAL SHOE COVER #4872A. THE EMPLOYEE SUFFERED A LOWER LUMBAR STRAIN FROM THE INCIDENT.CUSTOMER IS NOT A LIBERTY TO DISCUSS TREATMENTS, THERAPIES OR OUTCOMES OF STAFF MEMBERS. CARDINAL HEALTH MADE AWARE OF INCIDENT IN 08/05.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SHOECOVER/ANTISKID/FLUIDREST/UNI SHOECOVER/ANTISKID/FLUIDREST/UNI FXP CARDINAL HEALTH 4872A UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other