HEEL RAISER, PROTECTOR MDT823296

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2014-03-21 for HEEL RAISER, PROTECTOR MDT823296 manufactured by Medline Industries, Inc..

Event Text Entries

[18564038] The facility reported that there were multiple reports of stage ii ulcers associated with the use of the heel protector. No other details were provided. We have no sample and no lot number. The facility did not respond to multiple requests asking for more information. We do not know how long the heel protectors were left in place and whether regular skin assessments had taken place. We do not know how many incidents occurred and if any medical intervention was indicated. We have not confirmed that the heel protectors caused or contributed to the incidents but in an abundance of caution, this medwatch is being filed.
Patient Sequence No: 1, Text Type: N, H10


[18569705] The facility reported that patients developed stage ii decubitus ulcers while wearing the heel protectors.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1417592-2014-00032
MDR Report Key3698632
Report Source05,06
Date Received2014-03-21
Date of Report2014-03-17
Date Mfgr Received2014-02-18
Date Added to Maude2014-03-26
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location3
Manufacturer ContactJULIE FINLEY
Manufacturer StreetONE MEDLINE PLACE
Manufacturer CityMUNDELEIN IL 60060
Manufacturer CountryUS
Manufacturer Postal60060
Manufacturer Phone8476434709
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHEEL RAISER, PROTECTOR
Product CodeFMP
Date Received2014-03-21
Catalog NumberMDT823296
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES, INC.
Manufacturer AddressMUNDELEIN IL 60060 US 60060


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-03-21

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