FDA Adverse Event
Injury
Summary report: N
RHEO KNEE
MDR report key: 2072658
·
Received April 21, 2011
Report
- Report Number
- 3026585-2011-00003
- Event Type
- Injury
- Date Received
- April 21, 2011
- Date of Event
- March 15, 2011
- Report Date
- April 20, 2011
- Manufacturer
- OSSUR
- Product Code
- IQI
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
BOTH THE PT AND THE TREATING PHYSICIAN INDICATE THAT THE INJURY WAS THE RESULT OF A FALL BY THE PT, AND THE PRODUCT WAS NOT AT FAULT.
Description of Event or Problem · 1
PT WEARING A PROSTHETIC RHEO KNEE PRODUCT FELL AND TORE HER ROTATOR CUFF WHICH REQUIRED SURGERY. BOTH THE PT AND THE TREATING PHYSICIAN STATED THE PRODUCT DID NOT FAIL AND THE INJURY WAS NOT CAUSED BY THE PRODUCT, BUT WAS UNRELATED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | RHEO KNEE | IQI | OSSUR | RKN100007 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |