FDA Adverse Event Injury Summary report: N

BALANCE KNEE OFM 1 IKF ADAPT

MDR report key: 7041888 · Received November 17, 2017

Report

Report Number
3006221031-2017-00002
Event Type
Injury
Date Received
November 17, 2017
Report Date
August 3, 2017
Manufacturer
OSSUR BAYREUTH
Product Code
ISY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

LOWER LIMB AMPUTEE FELL FOUR TIMES REQUIRING A HOSPITAL VISIT. LIMITED INFORMATION AVAILABLE FROM CLINIC RELATED TO THE INCIDENT, WE ARE WORKING TO OBTAIN FURTHER DETAILS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
822961 BALANCE KNEE OFM 1 IKF ADAPT LOWER LIMB PROSTHETC ISY OSSUR BAYREUTH 1721127

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention