BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ICELOCK 621 RATCHET

    MDR report key: 16545355 · Received March 15, 2023

    Report

    Report Number
    3003764610-2023-00012
    Event Type
    Malfunction
    Date Received
    March 15, 2023
    Date of Event
    February 20, 2023
    Report Date
    March 15, 2023
    Manufacturer
    OSSUR HF
    Product Code
    ISH
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    PRODUCT HAD BEEN IN USE FOR 6 MONTHS WHEN COMPLAINT WAS FILED DUE TO LOCK/RELEASE FAILURE. PATIENT DID NOT FALL OR SUSTAIN INJURIES. LOCKING PLATE WAS HIGHLY WORN AND TOP NOTCH ON PIN WORN. CAPA IS IN PROGRESS TO ADDRESS ISSUES WITH PREMATURE WEAR OF THE LOCK. PREMATURE WEAR CAN LEAD TO SERIOUS INJURY, BUT ISSUE IS EXPECTED TO BE DISCOVERED BY THE USER BEFORE BECOMING HAZARDOUS AS THE WEAR OCCURS GRADUALLY OVER TIME AND CHANGE IN USE OF THE LOCKING MECHANISM IS LIKELY TO BE NOTICED BY THE USER. INSTRUCTIONS FOR USE INDICATES A WARNING FOR CHANGE OR LOSS IN DEVICE FUNCTIONALITY, AND TO CONTACT A CLINICIAN WHEN THIS OCCURS. THE MAJORITY OF CLAIMS REGARDING THIS ISSUE WERE NOT ASSOCIATED WITH AN INCIDENT, BUT DISCOVERED IN A TIMELY MANNER.

    Description of Event or Problem · 0

    IN JANUARY THE SOCKET LOCK JAMMED AND PATIENT WAS STUCK IN THE PROSTHESIS. SOCKET LOCK WAS REMOVED AND REPAIRED. PRODUCT FAILED AGAIN (B)(6) 2023 AS LOCK WAS NOT HOLDING PIN RESULTING IN NO SUSPENSION. LOCK WAS REPLACED. NO INJURY OCCURRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1036569 ICELOCK 621 RATCHET PROSTHETIC LOCK ISH OSSUR HF L-621000

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown