FDA Adverse Event Injury Summary report: N

KAFO KNEE ANKLE FOOT ORTHOSIS

MDR report key: 16378137 · Received February 15, 2023

Report

Report Number
16378137
Event Type
Injury
Date Received
February 15, 2023
Date of Event
July 10, 2022
Report Date
February 7, 2023
Manufacturer
BECKER ORTHOPEDIC APPLIANCE CO.
Product Code
IQI
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MI
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

I RECEIVED A CALL FROM THE PATIENT STATING THAT HE FELL AND BROKE HIS RIGHT LEG, ABOVE THE KNEE, WHILE WEARING HIS RIGHT KNEE-ANKLE-FOOT ORTHOSIS (R-KAFO). THE PATIENT WAS ASKED IF THE DEVICE COULD BE DROPPED OFF BY HIS WIFE FOR SEQUESTERING, WHICH HE IS WILLING TO DO WHEN IT IS CONVENIENT FOR THEM TO DO SO. PATIENT WAS ASKED NOT TO DISCARD HIS KAFO DEVICE. THE PATIENT WAS ALSO INFORMED THAT I WILL NOTIFY HIS CLINICIAN AND HER SUPERVISOR SO THAT APPROPRIATE STEPS CAN BE TAKEN TO ADDRESS THE ISSUE. PATIENT WAS ASKED NOT TO DISCARD HIS KAFO DEVICE. NO MANUFACTURER RESPONSE YET.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
968440 KAFO KNEE ANKLE FOOT ORTHOSIS ORTHOSIS, LIMB BRACE IQI BECKER ORTHOPEDIC APPLIANCE CO.

Patients

Seq Age Sex Outcome Treatment
1 22630 DA Male Hospitalization| R