BEUDAMED
    FDA Adverse Event Other Summary report: N

    C-LEG

    MDR report key: 3221181 · Received July 5, 2013

    Report

    Report Number
    9615892-2013-00004
    Event Type
    Other
    Date Received
    July 5, 2013
    Date of Event
    June 3, 2013
    Report Date
    July 4, 2013
    Manufacturer
    OTTO BOCK HEALTHCARE PRODUCTS GMBH
    Product Code
    ISW
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    PT FELL ON STAIRS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    307133 C-LEG NONE ISW OTTO BOCK HEALTHCARE PRODUCTS GMBH 3C98-2=S

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization