FDA Adverse Event
Injury
Summary report: N
DEFIANCE ACL, PCL, CI KNEE BRACE
MDR report key: 2465260
·
Received February 20, 2012
Report
- Report Number
- 2020737-2012-00005
- Event Type
- Injury
- Date Received
- February 20, 2012
- Date of Event
- November 4, 2011
- Report Date
- February 15, 2012
- Manufacturer
- DJO, LLC
- Product Code
- IQI
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
PATIENT TACKLED OPPONENT WHILE BRACED AND INJURED HIS ACL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | DEFIANCE ACL, PCL, CI KNEE BRACE | RIGID BRACING | IQI | DJO, LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |