inforMED
InjuryISH

ICEROSS SEAL-IN X

Received Dec 5, 2018 · Event occurred Jun 30, 2017

Report 3003764610-2018-00007 · MDR key 8132735

Device

Generic name

Liner

Manufacturer

Ossur Hf

Model number

I-SXT026

Catalog number

I-SXT026

Product problems

  • Fitting Problem

Patient

Not reported

  • Pain
  • Skin Irritation
  • Impaired Healing
  • Pain
  • Skin Irritation
  • Impaired Healing

Narrative

Additional Manufacturer Narrative

NO INDICATION OF MATERIAL OR MANUFACTURING FAILURE COULD BE IDENTIFIED BASED ON INFORMATION PROVIDED. THIS TYPE OF ISSUE HAS NOT BEEN RECORDED BEFORE AS A RESULT OF THIS OR PREDICATE DEVICES. NO PRODUCT WAS RETURNED AND ANALYSIS WAS PERFORMED BASED ON INFORMATION PROVIDED VIA MEDWATCH. IT IS CONCLUDED THAT THE SUBJECT IS LIKELY TO HAVE AN UNDERLYING CONDITION LEADING TO THE SEVERITY OF ULCERATION. DIABETIC PATIENTS AND PERIPHERAL VASCULAR DISEASE PATIENTS ARE KNOWN TO BE ULCER PRONE WHICH MAY ALSO HAVE CONTRIBUTED TO SAID ISSUE. AS INFORMATION IS SCARCE IN THE CLAIM AND RELATION CANNOT BE MADE TO PRODUCT MALFUNCTION, FURTHER ACTION IS NOT CONSIDERED WARRANTED.

Description of Event or Problem

PATIENT WAS FITTED WITH A 1 1/2 IN SILICONE BAND THAT FELT LIKE A "TOURNIQUET", CAUSED PAIN AND DEVELOPED A NON-HEALING BLOOD BLISTER.

Remedial action

  • Patient Monitoring