inforMED
MalfunctionKNP

DR COMFORT

Received Sep 20, 2024 · Event occurred Jun 2, 2024

Report 9616086-2024-00079 · MDR key 20274362

Device

Generic name

L5000 Toe Filler Custom Insole

Manufacturer

Djo Llc

Catalog number

17-0004-0-00000

Lot number

2351211

Product problems

  • Patient Device Interaction Problem
  • Patient Device Interaction Problem

Patient

NA · Unknown

  • Tissue Breakdown
  • Tissue Breakdown

Narrative

Additional Manufacturer Narrative

IT WAS REPORTED THAT THE SHOE FELT TOO TIGHT ON TOP BY THE LACES/TOE FILLER. CAUSING TRAUMA TO AMP SITE, WAS BLEEDING, PATIENT FEELS LIKE AREA IS TOO NARROW ON RIGHT MET. THE CUSTOM INSOLE WAS RETURNED AND EVALUATED DEFECT CONFIRMED. ITEM IS MISASSEMBLED AND DOES NOT MATCH PATIENTS FOOT. THE ROOT CAUSE HAS BEEN TRACED BACK TO A MANUFACTURING OF THE CUSTOM INSOLE.

Description of Event or Problem

IT WAS REPORTED THAT THE SHOE FELT TOO TIGHT ON TOP BY THE LACES/TOE FILLER. CAUSING TRAUMA TO AMP SITE, WAS BLEEDING, PATIENT FEELS LIKE AREA IS TOO NARROW ON RIGHT MET.