FDA Adverse Event Injury Summary report: N

REWALK

MDR report key: 4645875 · Received March 30, 2015

Report

Report Number
3007615665-2014-00001
Event Type
Injury
Date Received
March 30, 2015
Date of Event
December 9, 2013
Report Date
January 12, 2014
Manufacturer
REWALK ROBOTICS LTD.
Product Code
PHL
PMA / PMN Number
K131798
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

(B)(6) (PT AT (B)(6)) REPORTED THAT MW-2014-01 EMAILED (B)(6) ON (B)(6) 2014 THAT SHE SUFFERED A FRACTURE OF HER TIBIA AND FIBULA JUST ABOVE THE RIGHT ANKLE. MW-2014-01 SAYS THE FRACTURE OCCURRED DURING HER REWALK SESSION ON (B)(6) 2014. (B)(6) FEELS THE FRACTURE MAY HAVE OCCURRED AFTER ADJUSTMENTS WERE MADE TO SHORTEN THE LENGTH OF BOTH THE UPPER AND LOWER SEGMENTS ON THE DEVICE CAUSING THE KNEES TO FLEX WHEN COMING FROM A SIT TO STAND. A SIT TO STAND WAS PERFORMED TWICE BEFORE THE LOWER SEGMENTS WERE LENGTHENED. MW-2014-01 SAID SHE NOTICED HER RIGHT ANKLE AREA WAS NOT LOOKING RIGHT THE EVENING OF (B)(6) 2014. ON THE MORNING OF (B)(6) 2014 MW-2014-01 SAID THE RIGHT ANKLE AREA STILL DID NOT APPEAR RIGHT AND WENT TO THE ER AND WAS DIAGNOSED WITH A FRACTURE AND PLACED IN A CAST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
209070 REWALK POWERED EXOSKELETON PHL REWALK ROBOTICS LTD. REHABILITATION

Patients

Seq Age Sex Outcome Treatment
1 55 YR Required Intervention