REWALK REHABILITATION 50-30-0001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,07 report with the FDA on 2015-03-30 for REWALK REHABILITATION 50-30-0001 manufactured by Rewalk Robotics Ltd..

Event Text Entries

[5680684] (b)(6) (pt at (b)(6)) reported that mw-2014-01 emailed (b)(6) on (b)(6) 2014 that she suffered a fracture of her tibia and fibula just above the right ankle. Mw-2014-01 says the fracture occurred during her rewalk session on (b)(6) 2014. (b)(6) feels the fracture may have occurred after adjustments were made to shorten the length of both the upper and lower segments on the device causing the knees to flex when coming from a sit to stand. A sit to stand was performed twice before the lower segments were lengthened. Mw-2014-01 said she noticed her right ankle area was not looking right the evening of (b)(6) 2014. On the morning of (b)(6) 2014 mw-2014-01 said the right ankle area still did not appear right and went to the er and was diagnosed with a fracture and placed in a cast.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3007615665-2014-00001
MDR Report Key4645875
Report Source05,07
Date Received2015-03-30
Date of Report2014-01-12
Date of Event2013-12-09
Date Mfgr Received2014-12-13
Device Manufacturer Date2014-08-01
Date Added to Maude2015-04-01
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactJOHN HAMILTON
Manufacturer Street33 LOCKE DRIVE
Manufacturer CityMARLBORO MA 01752
Manufacturer CountryUS
Manufacturer Postal01752
Manufacturer Phone5082511154
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameREWALK
Generic NamePOWERED EXOSKELETON
Product CodePHL
Date Received2015-03-30
Model NumberREHABILITATION
Catalog Number50-30-0001
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerREWALK ROBOTICS LTD.
Manufacturer AddressMARLBORO MA US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2015-03-30

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