inforMED
InjuryKYS

DR COMFORT

Received Jan 29, 2025 · Event occurred Jan 2, 2025

Report 9616086-2025-00009 · MDR key 21270252

Device

Generic name

A5514 Regular Accomm Custom Insoles

Manufacturer

Djo Llc

Catalog number

17-0001-0-00000

Lot number

UNKNOWN

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 PATIENT DEVELOPED A WOUND ON THE DORSAL 2ND DIGIT IPJ. PATIENT WAS TREATED BY A DOCTOR IN THE DOCTOR'S OFFICE, NO HOSPITALIZATION OR AMPUTATION. BOTH FEET ARE FORMING CALLUSES ON DORSAL IPJ ON DIGITS 2-4. PATIENT WAS WEARING OR A FEW WEEKS. WOUND INTO LIMITED TO THE BREAKDOWN OF SKIN. THE CUSTOM INSOLE WAS RETURNED AND INVESTIGATED BY A QUALITY TECHNICIAN. THE ISSUE HAS NOT BEEN CONFIRMED AS REPORTED. THE ROOT CAUSE COULD NOT BE ESTABLISHED.

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT DEVELOPED A WOUND ON THE DORSAL 2ND DIGIT IPJ. PATIENT WAS TREATED BY A DOCTOR IN THE DOCTORS OFFICE, NO HOSPITALIZATION OR AMPUTATION. BOTH FEET ARE FORMING CALLUSES ON DORSAL IPJ ON DIGITS 2-4. PATIENT WAS WEARING OR A FEW WEEKS. WOUND INTO LIMITED TO THE BREAKDOWN OF SKIN.