inforMED
MalfunctionFMP

PRIMO

Received Jun 10, 2026 · Event occurred Aug 21, 2024

Report 3004824601-2025-00186 · MDR key 25460840

Device

Generic name

Heel Offloading Boot

Model number

HC1W

Product problems

  • Inadequate or Insufficient Training

Patient

NA · Unknown

  • Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available

Narrative

Additional Manufacturer Narrative

THESE MEDICAL DEVICE REPORTS (MDRS) ARE BEING FILED PAST THE REGULATORY REPORTING TIMEFRAME AS THEY ARE A RESULT OF A RETROSPECTIVE REVIEW OF OUR COMPLAINTS. THE EVENT WAS EVALUATED AND DETERMINED NOT TO INVOLVE A DEVICE MALFUNCTION; THE ROOT CAUSE WAS IDENTIFIED AS A USE ERROR. HOWEVER, GIVEN THAT A MINOR INJURY WAS REPORTED, THE EVENT IS BEING REPORTED IN LINE WITH APPLICABLE VIGILANCE REPORTING REQUIREMENTS.

Description of Event or Problem

ON 21AUG2024, CUSTOMER REPORTED THAT HC1W HEELCHECK BOOT, STANDARD W/WEDGE WAS NOT PROPERLY BEING USED BY HOSPITAL STAFF. AS A RESULT, 18 HOSPITAL-ACQUIRED PRESSURE INJURIES WERE OBSERVED.