BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SEQUENTIAL COMPRESSION SLEEVE

    MDR report key: 85407 · Received July 2, 1996

    Report

    Report Number
    85407
    Event Type
    Injury
    Date Received
    July 2, 1996
    Date of Event
    April 24, 1996
    Report Date
    June 3, 1996
    Manufacturer
    KENDALL CO.
    Product Code
    JOW
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CO, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT CAME FROM OR WITH THIGH HIGH ANTIEMBOLISM HOSE ON AND CO SCD THIGH HIGH OVER THAT. PT C/O OF RT ANKLE PAIN- FOUND HOSE BUNCHED UP AROUND ANKLE WITH LARGE INDENTED REDDENED AREA DORSAL ASPECT OF ANKLE, SCD'S WERE DC'D, ANTIEMBOLISM STOCKING REMOVED. LAST DOCUMENTATION IN CHART 4/25/96 AT 1945- PINK 3" TEARDROP SHAPE, ANT. SURFACE RT ANKLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SEQUENTIAL COMPRESSION SLEEVE COMPRESSION STOCKING JOW KENDALL CO. 5320 *

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR Required Intervention