BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEFIANCE KNEE BRACE

    MDR report key: 2236492 · Received August 25, 2011

    Report

    Report Number
    2020737-2011-00010
    Event Type
    Injury
    Date Received
    August 25, 2011
    Date of Event
    August 1, 2011
    Report Date
    August 25, 2011
    Manufacturer
    DJO GLOBAL
    Product Code
    ITQ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RETORE ACL WAKE BOARDING SAME WAY HE INITIALLY TORE IT DOING A BACK FLIP, IT WAS DONE ROUGHLY THREE YEARS AFTER GETTING THE BRACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEFIANCE KNEE BRACE RIGID BRACING ITQ DJO GLOBAL

    Patients

    Seq Age Sex Outcome Treatment
    1 Other