BEUDAMED
    FDA Adverse Event Other Summary report: N

    AVI FOOT PUMP MOTOR AND IMPAD RIGID SOLE FOOT COVER

    MDR report key: 65526 · Received December 26, 1996

    Report

    Report Number
    65526
    Event Type
    Other
    Date Received
    December 26, 1996
    Date of Event
    June 14, 1996
    Report Date
    July 11, 1996
    Manufacturer
    KENDALL CO.
    Product Code
    JOW
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    REMOVED HOSE R FOOT AND SEQUENTIAL STOCKINGS FROM RL. FOUND DARK PURPLE PRESSURE AREAS AS FOLLOWS: TOP OF FOOT 3 INCH DIAMETER, MEDIAL AND LATERAL MALLEOLUS, IN X 1/2 IN, HEEL 2 INCH DIAMETER, LOWER SHIN 3 INCH AREA WITH NODIATION LATERALLY 3-4 INCHES, SMALL 1 CM OPEN AREA ON SHIN. FOOT/BODY CREAM AND DRESSING APPLIED AND RLE ELEVATED TO KEEP PRESSURE OFF. PT HAD HAD BOTH HOSE AND STOCKING ON BOTH FEET SINCE OR. (STARTED 6/11/96.)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AVI FOOT PUMP MOTOR AND IMPAD RIGID SOLE FOOT COVER * JOW KENDALL CO. 5000 / 5046 *

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Other