MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-05-18 for YELLOW SLIPP * manufactured by Wright Products Inc..
[22268475]
Two known falls/and several near falls due to slippery floor in mri room. Yellow slipp found to have a tear and has been leaking substance.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3873862 |
| MDR Report Key | 3873862 |
| Date Received | 2014-05-18 |
| Date of Report | 2014-05-18 |
| Date of Event | 2014-05-09 |
| Report Date | 2014-05-18 |
| Date Reported to FDA | 2014-05-18 |
| Date Reported to Mfgr | 2014-06-16 |
| Date Added to Maude | 2014-06-16 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | YELLOW SLIPP |
| Generic Name | DEVICE, TRANSFER, PATIENT |
| Product Code | FMR |
| Date Received | 2014-05-18 |
| Model Number | * |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Device Availability | Y |
| Device Age | 2 YR |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | WRIGHT PRODUCTS INC. |
| Manufacturer Address | 1909 S. TAYLORVILLE ROAD DECATUR IL 62521 US 62521 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2014-05-18 |