inforMED
MalfunctionFMP

MEDLINE HEELMEDIX BOOTS

Received Apr 19, 2018 · Event occurred Mar 20, 2018

Report MW5076632 · MDR key 7450493

Device

Generic name

Protector, Skin Pressure

Product problems

  • Fitting Problem

Patient

95 YR

  • Tissue Damage
  • Tissue Damage

Narrative

Description of Event or Problem

PATIENT WEARING BILATERAL MEDLINE HEELMEDIX BOOTS TO OFFLOAD BILATERAL HEELS. THE PATIENT'S HEELS WERE NOT BEING OFFLOADED BY THE BOOT WHEN INSPECTED. THE FEET HAD SLIPPED BACK AND THE HEELS WERE LYING ON THE BACK PART OF THE BOOTS. UPON INSPECTION OF THE RIGHT MEDIAL HEEL, A DEEP PURPLE DISCOLORATION WAS DISCOVERED INDICATING A POSSIBLE DEEP TISSUE INJURY. THIS WAS NOT DISCOVERED ON ADMISSION BUT WITHIN 24 HOURS OF ADMISSION, IT IS BELIEVED TO LIKELY HAVE BEEN CAUSED BY THE BOOT NOT FITTING PROPERLY DESPITE BEING APPLIED PER INSTRUCTIONS.