InjuryFMP
FLOOR CUSHION, TWO-TONE
Received May 25, 2011 · Event occurred May 23, 2009
Report 2020362-2011-00164 · MDR key 2115184
Device
Product problems
- Unknown (for use when the device problem is not known)
Patient
NI
- Bone Fracture(s)
- Hematoma
Narrative
Description of Event or Problem
POSEY RECEIVED INFORMATION FROM A THIRD PARTY REPORT THAT ALLEGES AN EMPLOYEE SLIPPED ON A FLOOR MAT AND FELL TO THE FLOOR. THE EMPLOYEE SUSTAINED A SUBDURAL HEMATOMA, FRACTURED ELBOW, SHOULDER, WRIST AND KNEE INJURY.
Additional Manufacturer Narrative
(B)(4). POSEY HAS REQUESTED MORE INFORMATION AND THE RETURN OF THE PRODUCT, BUT HAS NOT RECEIVED ANY FURTHER INFORMATION OR PRODUCT. THIS REPORT IS BASED SOLELY ON INFORMATION PROVIDED BY A THIRD PARTY. (B)(4).