inforMED
InjuryIPG

AIRCAST XP DIABETIC WALKER SYSTEM, L

Received Oct 16, 2019 · Event occurred Sep 19, 2019

Report 9616086-2019-00069 · MDR key 9198298

Device

Generic name

Shoe, Cast

Manufacturer

Djo, Llc

Model number

01PD-L

Product problems

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

Patient

Not reported

  • Pressure Sore/Ulcer
  • Pressure Sore/Ulcer

Narrative

Additional Manufacturer Narrative

ONE XP DIABETIC WALKER SYSTEM, L, LOT NUMBER 190417-AA, WAS RETURNED FOR EVALUATION. PRODUCT CONDITIONS WERE VISUALLY EVALUATED AND TESTED. THE PRODUCT IS IN GOOD CONDITION. NO DEFECT WAS FOUND. HOWEVER, THE PRODUCT WAS MODIFIED. THERE WAS A PIECE OF FOAM BETWEEN THE LINER AND THE AIR CELL. THERE WAS NO EVIDENCE (FRAGMENTATION OR MARKING) ON THE LINER THAT WOULD PROVE CONTACT OR FRICTION BETWEEN THE SKIN AND THE LINER. THE AIR CELLS WERE TESTED AND INFLATED / DEFLATED CORRECTLY. INSTRUCTIONS FOR USE STATE "LIKE ALL LOWER EXTREMITY IMMOBILIZERS, SUCH AS CASTS OR BRACES, PATIENTS WITHOUT SENSATION (I.E. POSTOP ANESTHESIA, NEUROPATHIES, ETC.) SHOULD BE MONITORED FREQUENTLY FOR "HOT SPOTS", SKIN IRRITATION OR WOUND MANAGEMENT." THIS PRODUCT IS INTENDED FOR PEOPLE WITH DIABETES, WHICH IS COMMONLY ASSOCIATED WITH NEUROPATHY IN THE LOWER EXTREMITIES.

Additional Manufacturer Narrative

THE DEVICE HAS BEEN RECEIVED BY THE MANUFACTURER AND IS PENDING COMPLETION OF EVALUATION. A FOLLOW-UP REPORT WILL BE SUBMITTED UPON CONCLUSION OF THE MANUFACTURER'S INVESTIGATION.

Description of Event or Problem

IT WAS REPORTED THAT, AFTER A SHORT TIME OF WEARING, AN ULCER FORMED ON THE LATERAL SIDE OF THE DIABETIC PATIENT'S ANKLE. THE ORTHOPAEDIC TECHNICIAN EXPLAINED ON TELEPHONE THAT THE ANKLE OF THE PATIENT IS SLIGHTLY TILTED TO THE OUTSIDE. THIS ANOMALY CAUSED THE ANKLE TO WEAR THROUGH THE INNER CUSHION AND RUBBING ON THE PLASTIC FRAME. PICTURES PROVIDED BY THE REPORTER SHOW SEVERE, COMPLETE EROSION OF A LARGE AREA OF THE PATIENT'S SKIN AROUND THE ANKLE. NO FURTHER INFORMATION IS CURRENTLY AVAILABLE.