inforMED
MalfunctionKNP

DR COMFORT

Received Sep 14, 2024 · Event occurred Jun 6, 2024

Report 9616086-2024-00071 · MDR key 20219198

Device

Generic name

L5000 Toe Filler Custom Insole

Manufacturer

Djo Llc

Catalog number

17-0004-0-00000

Lot number

13833627

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

NA · Unknown

  • Neuropathy
  • Ulcer
  • Neuropathy
  • Ulcer

Narrative

Additional Manufacturer Narrative

IT WAS REPORTED THAT THE CUSTOM INSOLE AND SHOE CAUSED PAIN; SHOE RUBBED AND CAUSED ULCER ON DORSAL 2ND TOE. TOE FILLER DOES NOT MATCH FOOT, AMPSITE IS HITTING THE FILLER, FILLER NOT WIDE ENOUGH PRODUCT WITH THE CUSTOMER REPORTED ISSUE WAS RETURNED AND INVESTIGATED BY A QUALITY TECHNICIAN AND DEFECT CONFIRMED, CUSTOM IS MISASSSMEBLED (NOT WIDE ENOUGH, NOT MATCHING PT CLONE). ROOT CAUSE IS TRACED TO THE MANUFACTURING PROCESS OF THE CUSTOM INSOLE.

Description of Event or Problem

IT WAS REPORTED THAT THE CUSTOM INSOLE AND SHOE CAUSED PAIN; SHOE RUBBED AND CAUSED ULCER ON DORSAL 2ND TOE. TOE FILLER DOES NOT MATCH FOOT, AMPSITE IS HITTING THE FILLER, FILLER NOT WIDE ENOUGH