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