FDA Adverse Event Other Summary report: N

EQUALIZER WALKER LOW TOP

MDR report key: 1668373 · Received April 23, 2010

Report

Report Number
1836248-2010-00003
Event Type
Other
Date Received
April 23, 2010
Date of Event
April 2, 2010
Report Date
April 23, 2010
Manufacturer
OSSUR AMERICAS
Product Code
ITW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4) QUALITY ASSURANCE DIRECTOR, SPOKE WITH THE PT ON (B)(6) 2010, TO OBTAIN MORE DETAILS. (B)(4) REVIEWED THE CURRENT DATABASE AND THIS WAS THE FIRST OCCURRENCE FOR THIS ISSUE. HE ASKED HER IF THERE WAS ANYTHING ELSE WE COULD DO AND SHE REPLIED THAT SHE ONLY WANTED TO INFORM US OF THE ISSUE. WE WILL CONTINUE TO MONITOR THIS ISSUE.

Description of Event or Problem · 1

PT CALLED IN TO REPORT INJURY CAUSED BY OUR EQUALIZER LOW TOP WALKER, THE PT STATES THE MEDIAL AND LATERAL STRUTS ARE DIGGING INTO HER SKIN AND THIS HAS CAUSED PRESSURE POINTS. THE PT INDICATED THAT HER DR. STATED PERHAPS HER GATE HAD IMPACTED HER EXPERIENCE WITH THE WALKER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EQUALIZER WALKER LOW TOP ITW OSSUR AMERICAS W0900BLK

Patients

Seq Age Sex Outcome Treatment
1 UNK Other