FDA Adverse Event Malfunction Summary report: N

INNOVATOR COOL POST OP KNEE

MDR report key: 5648783 · Received May 11, 2016

Report

Report Number
2085446-2016-00003
Event Type
Malfunction
Date Received
May 11, 2016
Date of Event
March 11, 2016
Report Date
May 5, 2016
Manufacturer
OSSUR AMERICAS
Product Code
ITQ
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICAL THERAPIST

Narratives

Additional Manufacturer Narrative · 1

PATIENT IS PRONE TO KNEE DISLOCATION. NO MEDICAL INTERVENTION WAS REQUIRED.

Description of Event or Problem · 1

PATIENT WITH CHRONIC PATELLA DISLOCATION WITH A HISTORY OF RECURRENT DISLOCATIONS WAS FIT WITH A COOL POST-OP KNEE BRACE WITH FULL EXTENSION BLOCKED. THE PATIENT CLAIMS TO HAVE KNOCKED THE EXTENSION SETTING WHICH ALLOWED THE DIAL TO DISENGAGE AND ALLOW MORE EXTENSION THAN DESIRED. THEY BELIEVE THIS RESULTED IN THE PATIENT RE-DISLOCATING THE PATELLA.

Description of Event or Problem · 1

PATIENT WITH CHRONIC PATELLA DISLOCATION WITH A HISTORY OF RECURRENT DISLOCATIONS WAS FIT WITH A COOL POST-OP KNEE BRACE WITH FULL EXTENSION BLOCKED. THE PATIENT CLAIMS TO HAVE KNOCKED THE EXTENSION SETTING WHICH ALLOWED THE DIAL TO DISENGAGE AND ALLOW MORE EXTENSION THAN DESIRED. THEY BELIEVE THIS RESULTED IN THE PATIENT RE-DISLOCATING THE PATELLA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
303977 INNOVATOR COOL POST OP KNEE JOINT, KNEE, EXTERNAL BRACE ITQ OSSUR AMERICAS 403100

Patients

Seq Age Sex Outcome Treatment
1 Other