FDA Adverse Event Injury Summary report: N

TALUX PYRAMID C6 27CM RIGHT

MDR report key: 6509127 · Received April 20, 2017

Report

Report Number
3003764610-2017-00002
Event Type
Injury
Date Received
April 20, 2017
Date of Event
April 2, 2017
Report Date
April 20, 2017
Manufacturer
OSSUR H/F
Product Code
ISH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

AMPUTEE (B)(6) YEAR OLD PATIENT WALKS WITH A CANE, WHILE WALKING, CLAIMS THE FOOT BROKE JUST BELOW THE PYRAMID CAUSING THE PATIENT TO FALL. THE PATIENT SOUGHT MEDICAL TREATMENT AND SUSTAINED A BROKEN HIP WHICH REQUIRED SURGERY. PATIENT IS EXPECTED TO MAKE A FULL RECOVERY.

Description of Event or Problem · 1

AMPUTEE (B)(6) YEAR OLD PATIENT WALKS WITH A CANE, WHILE WALKING, CLAIMS THE FOOT BROKE JUST BELOW THE PYRAMID CAUSING THE PATIENT TO FALL. THE PATIENT SOUGHT MEDICAL TREATMENT AND SUSTAINED A BROKEN HIP WHICH REQUIRED SURGERY. PATIENT IS EXPECTED TO MAKE A FULL RECOVERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
288216 TALUX PYRAMID C6 27CM RIGHT COMPONENT, EXTERNAL, LIMB, ANKLE/FOOT ISH OSSUR H/F TLP0627R

Patients

Seq Age Sex Outcome Treatment
1 60 YR Hospitalization| R