BEUDAMED
    FDA Adverse Event Other Summary report: N

    OTTO BOCK MODULAR KNEE JOINT

    MDR report key: 483645 · Received September 16, 2003

    Report

    Report Number
    2182293-2003-00006
    Event Type
    Other
    Date Received
    September 16, 2003
    Date of Event
    June 9, 2003
    Report Date
    September 16, 2003
    Manufacturer
    OTTO BOCK HEALTHCARE GMBH
    Product Code
    ISY
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    AZ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    AS REPORTED BY PRACTITIONER - PT FELL WALKING ACROSS THEIR YARD. PT WAS TAKEN TO THE EMERGENCY ROOM. PT SUSTAINED 1" CUT ON ANTERIOR PART OF KNEE AND KNEE WAS ALSO SWOLLEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OTTO BOCK MODULAR KNEE JOINT MODULAR KNEE JOINT ISY OTTO BOCK HEALTHCARE GMBH 3R36 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Other