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 |