inforMED
InjuryKYS

DR COMFORT

Received Jul 2, 2018 · Event occurred Jun 25, 2018

Report 3008579854-2018-00006 · MDR key 7654934

Device

Generic name

L5000 Tma Toe Filler Custom Insole

Model number

12-3123-0-50000

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

Not reported

  • Ulcer
  • Ulcer

Narrative

Description of Event or Problem

COMPLAINT RECEIVED THAT ALLEGES "GLUE HAS COME OFF THE TOP COVER THAT CAUSED SERIOUS INJURY. CREATED ULCER ON THE SOLE OF PTS FOOT LIKE A SILVER DOLLAR SIZE THAT MAY CAUSE AMPUTATION TO THE PT".