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