inforMED
InjuryISH

ASSURE EVO PYR CAT 4 S 28L

Received Oct 26, 2015 · Event occurred Jun 9, 2015

Report 3003764610-2015-00012 · MDR key 5178028

Device

Generic name

Component, External, Limb, Ankle/foot

Manufacturer

Ossur Iceland

Model number

FAPE428L

Catalog number

FAPE428L

Product problems

  • Component Incompatible

Patient

56 YR

  • Fracture, Arm

Narrative

Additional Manufacturer Narrative

PATIENT WEIGHT INDICATES HE IS TOO HEAVY FOR THE CATEGORY 4 FOOT AND SHOULD HAVE BEEN PLACED IN A CATEGORY 5 FOOT BY THE HEALTH PROFESSIONAL. THE FEMALE ORTIMEX MATING ADAPTER IS NOT COMPATIBLE WITH THE OSSUR MALE FOOT ADAPTER USED. WE SENT OUT A SAFETY ALERT REMINDING CUSTOMERS TO ONLY USE OSSUR ADAPTERS PER THE IFU.

Description of Event or Problem

BELOW KNEE AMPUTEE PATIENT FELL WHILE WALKING CAUSING BROKEN SHOULDER.

Remedial action

  • Modification/Adjustment
  • Notification