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 |