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 |