inforMED
DeathFMP

MEDICHOICE ULTIMATE OFF LOADING

Received Aug 7, 2014 · Event occurred May 7, 2014

Report 2431497-2014-00001 · MDR key 4184189

Device

Generic name

Heel Boot

Manufacturer

Skil-care Corp.

Model number

HPB 6300

Lot number

NA

Product problems

  • Insufficient Device Problem Information

Patient

NA

  • Death
  • Fall
  • Intracranial Hemorrhage
  • Laceration(s)
  • Confusion/ Disorientation

Narrative

Description of Event or Problem

MALE PT AT A SKILLED NURSING HOME (NOT IDENTIFIED) FOUND ON FLOOR WITH A HEAD LACERATION AND CONFUSION. WAS FOUND TO HAVE SUSTAINED EXTENSIVE INTRACRANIAL HEMORRHAGE DURING FALL. AS NOTED IN VOLUNTARY REPORT NO. (B)(6) (ATTACHED): RESIDENT WAS FOUND ON FLOOR WITH HEAD LACERATION AND CONFUSION CAUSED BY A FALL. RESIDENT WAS FOUND WEARING MEDICHOICE ULTIMATE OFF-LOADING HEEL BOOTS.

Additional Manufacturer Narrative

NOTE: "CAUTION" SECTION ON SECOND PAGE OF INSTRUCTION SHEET PACKAGED IN EVERY ULTIMATE OFF-LOADING HEEL BOOT - COMMENT #2 "DO NOT ALLOW PATIENT TO WALK OR STAND ON THE FLOOR WHILE WEARING THE BOOT".