FDA Adverse Event
Injury
Summary report: N
SYMBIONIC KNEE
MDR report key: 6976631
·
Received October 25, 2017
Report
- Report Number
- 3003764610-2017-00004
- Event Type
- Injury
- Date Received
- October 25, 2017
- Date of Event
- August 29, 2017
- Report Date
- October 25, 2017
- Manufacturer
- OSSUR H/F
- Product Code
- ISW
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
AMPUTEE PATIENT FELL WHILE WEARING A PROSTHETIC KNEE AND INCURRED A BROKEN TOE ON SOUND SIDE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 757234 | SYMBIONIC KNEE | PROSTHETIC KNEE | ISW | OSSUR H/F | SMBE7280 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |