inforMED
InjuryPHL

REWALK PERSONAL P6.0

Received Nov 14, 2024 · Event occurred Sep 30, 2024

Report 3007615665-2024-00003 · MDR key 20682019

Device

Generic name

Powered Exoskeleton

Manufacturer

Lifeward Ltd.

Catalog number

50-20-0004

Product problems

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

Patient

68 YR · Male

  • Unspecified Vascular Problem
  • Insufficient Information
  • Unspecified Vascular Problem
  • Insufficient Information

Narrative

Description of Event or Problem

THE PATIENT HAD BEEN USING A REWALK DEVICE FOR SEVERAL YEARS. ON (B)(6) 2024, THE PATIENT USED A NEWLY DELIVERED REWALK DEVICE FOR THE FIRST TIME FOR APPROXIMATELY 30 MINUTES. THE SETTINGS ON THE NEW DEVICE WERE THE SAME AS HIS PREVIOUS DEVICE. NO ISSUES WERE REPORTED DURING THE FITTING PROCESS AND THERE WERE NO REPORTS OF DEVICE MALFUNCTION BEFORE OR DURING USE. ON OCTOBER 19, 2024, LIFEWARD REPRESENTATIVE RECEIVED A MESSAGE FROM THE PATIENT, REPORTING THAT SEVERAL DAYS AFTER HIS SESSION WITH THE NEW REWALK DEVICE ON (B)(6) 2024, HE NOTICED HIS RIGHT FOOT'S TOES TURNING BLUE. HE ATTEMPTED SELF-CARE AT HOME WITHOUT IMPROVEMENT, AND AFTER 12 DAYS, SOUGHT MEDICAL ATTENTION, LEADING TO HIS HOSPITALIZATION. SUBSEQUENTLY, THE PATIENT REPORTED UNDERGOING AN AMPUTATION OF THE LATERAL PART OF HIS FOREFOOT. THE INCIDENT WAS RECORDED UNDER CUSTOMER COMPLAINT NUMBER: (B)(4).

Additional Manufacturer Narrative

FINAL REPORT DATE: JUNE 30 2025 1. THE INVESTIGATION ACTIVITIES INCLUDED THE FOLLOWING: · REVIEW OF DEVICE RECORDS. · INTERVIEWS WITH THE CLINICAL TRAINER AND WITH THE PATIENT. · REVIEWING THE TIMELINE OF THE PATIENT USAGE OF THE DEVICE · AVAILABLE PATIENT DATA AND PARAMETERS · A LIFEWARD FIELD SERVICE ENGINEER INSPECTED THE DEVICE AND FOUND NO EVIDENCE OF MALFUNCTION. 2. THE RIGHT FOOTPLATE OF THE DEVICE, WHICH HAD BEEN IN DIRECT CONTACT WITH THE PATIENT'S INJURED LEG, WAS RETURNED FOR FURTHER INVESTIGATION BY THE R&D AND QUALITY TEAMS. NO MALFUNCTIONS WERE IDENTIFIED. 3. THE CUSTOMER DECLINED THE REQUESTS FROM LIFEWARD TO SHARE ADDITIONAL MEDICAL INFORMATION. 4. THE AVAILABLE INFORMATION (PICTURES OF THE FOOT TOES) WAS REVIEWED AND EVALUATED BY AN EXTERNAL MEDICAL/CLINICAL EXPERT (PHYSICIAN), AND IT WAS DETERMINED THAT: THE TOE AMPUTATION WAS A COMPLICATION OF VASCULAR DISEASE, POSSIBLY FROM THROMBOEMBOLISM OR CHOLESTEROL EMBOLIZATION FROM ATHEROSCLEROTIC PLAQUE. THE REWALK DEVICE CANNOT BE CONSIDERED A RISK FACTOR FOR THE DEVELOPMENT OF ANY VASCULAR DISEASE OR IN EMBOLIZATION IN A VASCULAR DISEASE. THE MEDICAL COMPLICATION WAS NOT RELATED TO THE USAGE OF THE REWALK DEVICE. 5. BASED ON ALL AVAILABLE INFORMATION, THERE IS NO EVIDENCE TO SUGGEST THAT A DEVICE MALFUNCTION CAUSED THE INJURY. ADDITIONAL NOTES: THERE WERE NO SIMILAR INCIDENTS BEFORE OR AFTER THE REPORTED INCIDENT. THERE ARE NO REQUIRED ACTIONS AS IT IS CONCLUDED THAT THE MEDICAL COMPLICATION WAS NOT RELATED TO THE USAGE OF THE REWALK DEVICE.

Description of Event or Problem

THE PATIENT HAD BEEN USING A REWALK DEVICE FOR SEVERAL YEARS. ON (B)(6) 2024, THE PATIENT USED A NEWLY DELIVERED REWALK DEVICE FOR THE FIRST TIME FOR APPROXIMATELY 30 MINUTES. THE SETTINGS ON THE NEW DEVICE WERE THE SAME AS HIS PREVIOUS DEVICE. NO ISSUES WERE REPORTED DURING THE FITTING PROCESS AND THERE WERE NO REPORTS OF DEVICE MALFUNCTION BEFORE OR DURING USE. ON (B)(6) 2024, LIFEWARD REPRESENTATIVE RECEIVED A MESSAGE FROM THE PATIENT, REPORTING THAT SEVERAL DAYS AFTER HIS SESSION WITH THE NEW REWALK DEVICE ON (B)(6) 2024, HE NOTICED HIS RIGHT FOOT'S TOES TURNING BLUE. HE ATTEMPTED SELF-CARE AT HOME WITHOUT IMPROVEMENT, AND AFTER 12 DAYS, SOUGHT MEDICAL ATTENTION, LEADING TO HIS HOSPITALIZATION. SUBSEQUENTLY, THE PATIENT REPORTED UNDERGOING AN AMPUTATION OF THE LATERAL PART OF HIS FOREFOOT. THE INCIDENT WAS RECORDED UNDER CUSTOMER COMPLAINT NUMBER: (B)(4).