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 IcelandModel number
FAPE428LCatalog 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