inforMED
InjuryITM

DONJOY OA ADJUSTER 3, MEDIAL, RT, S

Received May 6, 2015 · Event occurred Apr 20, 2015

Report 9616086-2015-00011 · MDR key 4758516

Device

Generic name

Oa Adjuster 3, Medial, Rt, S Knee Brace

Manufacturer

Djo, Llc

Model number

11-1590-2

Catalog number

11-1590-2

Product problems

  • Bent

Patient

Not reported

  • Fall
  • Arthralgia

Narrative

Description of Event or Problem

COMPLAINT RECEIVED FROM CLINICIAN THAT ALLEGES "BENT WHEN HE FELL- AND HAVING ANKLE PROBLEMS WAS NOT ABLE TO FEEL HIS FOOT AS A RESULT OF THE FALL". QUESTIONNAIRE WAS NOT RECEIVED FROM CLINICIAN AND/OR PATIENT. DEVICE NOT RETURNED TO MANUFACTURER FOR EVALUATION. NO INDICATION EVENT CAUSED OR CONTRIBUTED TO PERMANENT IMPAIRMENT OR DEATH. NO INDICATION DEVICE CAUSED OR CONTRIBUTED TO THE EVENT.