inforMED
MalfunctionISH

OTTO BOCK AXTION® PROSTHETIC FOOT

Received Jul 20, 2016 · Event occurred Mar 11, 2013

Report 1721652-2016-00004 · MDR key 5808542

Device

Generic name

1e56 Axtion Prosthetic Foot

Model number

1E56=N26-3-P/0

Catalog number

1E56=N26-3-P/0

Product problems

  • Break

Patient

Not reported

  • Fall
  • Fall

Narrative

Additional Manufacturer Narrative

RECENTLY OTTO BOCK HEALTHCARE LP PERFORMED A RETROSPECTIVE REVIEW ACROSS ALL PRODUCTS MANUFACTURED IN (B)(4). DURING THE REVIEW THIS MALFUNCTION WAS DISCOVERED AND IT WAS DETERMINED TO BE REPORTABLE BASED ON THE CRITERIA OUTLINED IN 21 CFR 803. DEVICE NOT RETURNED, EVAL FROM PICTURES.

Description of Event or Problem

THIS EVENT OCCURRED IN (B)(6). THE PYRAMID ADAPTER BROKE WHILE THE PATIENT WAS WALKING AT HOME IN THE KITCHEN. THE PATIENT WAS SAID TO HAVE FALLEN AND HURT THEIR HANDS. THERE WERE NO SERIOUS INJURIES REPORTED AND THE PATIENT DID NOT SEEK MEDICAL ATTENTION. NO FURTHER DETAILS WERE PROVIDED FOR THIS EVENT.

Remedial action

  • Replace