inforMED
MalfunctionNOC

SAGER EMERGENCY SPLINT

Received Sep 12, 2022 · Event occurred Jun 18, 2020

Report 3012307300-2022-18643 · MDR key 15401687

Device

Generic name

Splint, Extremity, Non-inflatable, External, Non-

Catalog number

W8875/CE

Product problems

  • Separation Problem
  • Separation Problem

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

NO LOT NUMBER WAS PROVIDED, THEREFORE, THE DEVICE HISTORY RECORD REVIEW COULD NOT BE COMPLETED. A PRODUCT SAMPLE AND PHOTO WERE RECEIVED FOR EVALUATION. VISUAL AND FUNCTIONAL TESTING WERE PERFORMED AND CONFIRMED THAT THE REPORTED PART WAS BROKEN. THE ROOT CAUSE OF THE REPORTED ISSUE WAS UNABLE TO BE DETERMINED. UDI IS UNKNOWN. NO INFORMATION HAS BEEN PROVIDED TO DATE. THIS REMEDIATION MDR WAS GENERATED UNDER PROTOCOL (B)(4), AS A RESULT OF WARNING LETTER (B)(4).

Description of Event or Problem

IT WAS REPORTED THAT BUCKLE OF THE THIGH STRAP BROKE. NO PATIENT INJURY WAS REPORTED.