InjuryISS
LINER PROTECT 3C 28 MTRX 10
Received Aug 2, 2017
Report 3006221031-2017-00001 · MDR key 6761286
Device
Product problems
- Loose or Intermittent Connection
Patient
78 YR
- Fall
- Injury
- Fall
- Injury
Narrative
Description of Event or Problem
BELOW KNEE AMPUTEE PATIENT WAS WEARING A PROTECT PROSTHETIC LINER AND CLAIMS THE PIN CAME LOOSE FROM THE LINER CAUSING HIM TO FALL RESULTING IN A BROKEN FOOT ON HIS SOUND SIDE.
Additional Manufacturer Narrative
PRODUCT EVALUATION ONGOING - WILL FOLLOW-UP WITH A SUPPLEMENTAL REPORT TO INCLUDE PRODUCT EVALUATION.
Description of Event or Problem
BELOW KNEE AMPUTEE PATIENT WAS WEARING A PROTECT PROSTHETIC LINER AND CLAIMS THE PIN CAME LOOSE FROM THE LINER CAUSING HIM TO FALL RESULTING IN A BROKEN FOOT ON HIS SOUND SIDE.