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 |