inforMED
MalfunctionISH

VARI-FLEX PYR EVO C8 S28HH

Received Sep 25, 2014 · Event occurred Aug 23, 2014

Report 3003764610-2014-00004 · MDR key 4189231

Device

Generic name

Component, External, Limb, Ankle/foo

Manufacturer

Ossur

Model number

VFPE8282

Catalog number

VFPE8282

Lot number

PB121377/PB130508

Product problems

  • Break

Patient

Not reported

  • Fall
  • Head Injury

Narrative

Additional Manufacturer Narrative

SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF PRODUCT EVALUATION AND ANALYSIS.

Description of Event or Problem

BELOW KNEE AMPUTEE PATIENT WAS GOING UP A FLIGHT OF STAIRS WHEN THE PYRAMID ADAPTER BROKE CAUSING HIM TO FALL. THE PATIENT HIT HIS HEAD AND WENT TO THE DOCTOR. NO FURTHER ATTENTION WAS NEEDED AS HE IS RECOVERING WELL AND WILL REACH FULL RECOVERY.