MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2004-12-08 for DURA-FIT SHOE COVERS WITH SKID RESISTANCE * manufactured by Cardinal Health.
[344499]
A circulating nurse placed shoe covers on shoes in the morning to prepare for a day in the or, operating room. Approximately 20 minutes later, while in the or preparing a room for a case, the nurse took a step and slid and fell on the floor using the right hand as a brace. The nurse sustained a fracture to the right wrist and required casting. Additional follow-up reveals: the shoe covers were placed on the shoes properly. The floor was not wet. This is believed to be an accident.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 560993 |
| MDR Report Key | 560993 |
| Date Received | 2004-12-08 |
| Date of Report | 2004-12-08 |
| Date of Event | 2004-11-08 |
| Report Date | 2004-12-08 |
| Date Reported to FDA | 2004-12-08 |
| Date Added to Maude | 2004-12-23 |
| 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 | 0 |
| Reprocessed and Reused Flag | 0 |
| Reporter Occupation | RISK MANAGER |
| 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 | DURA-FIT SHOE COVERS WITH SKID RESISTANCE |
| Generic Name | SHOE COVER |
| Product Code | FXP |
| Date Received | 2004-12-08 |
| Model Number | * |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Device Availability | N |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 550703 |
| Manufacturer | CARDINAL HEALTH |
| Manufacturer Address | MEDICAL PRODUCTS SERVICES 1430 WAUKEGAN ROAD MCGAW PARK IL 600856787 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2004-12-08 |