FDA Adverse Event Injury Summary report: N

ACE (TM) HINHED KNEE BRACE

MDR report key: 4186043 · Received October 2, 2014

Report

Report Number
2110898-2014-00068
Event Type
Injury
Date Received
October 2, 2014
Date of Event
September 16, 2014
Report Date
September 16, 2014
Manufacturer
SINNING INDUSTRIAL CO. LTD.
Product Code
IQI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

MANUFACTURING NAME AND ADDRESS SHOULD BE CONSIDERED CONFIDENTIAL.

Description of Event or Problem · 1

CUSTOMER WORE FOR A COUPLE OF HOURS IN THE MORNING. THIS WAS THE FIRST TIME FOR THE CUSTOMER TO WEAR THIS BRACE. WHEN THE BRACE WAS REMOVED THERE WAS A SKIN REACTION IN THE AREA OF THE KNEE AND CALF. THE NEXT DAY THE CUSTOMER WENT TO A DOCTOR REGARDING THE SKIN REACTION. THE DOCTOR GAVE THE CUSTOMER MEDICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
614083 ACE (TM) HINHED KNEE BRACE 890.3475 LIMB ORTHOSIS IQI SINNING INDUSTRIAL CO. LTD. NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNK