FOOT UP 27810-2

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional report with the FDA on 2016-01-06 for FOOT UP 27810-2 manufactured by Ossur Americas.

Event Text Entries

[35187748] Aktiv ortopedteknick stated they are uncertain that this claim of injury is related to the product since the damage was on the toe and the product is used on the ankle. We are working to obtain further information from the clinic and patient.
Patient Sequence No: 1, Text Type: N, H10


[35187749] Very little information was provided by the customer. We are working with them to obtain more information. The claim is the patient had a toe amputated due to pressure sores.
Patient Sequence No: 1, Text Type: D, B5


[39887234] (b)(4) stated they are uncertain that this claim of injury is related to the product since the damage was on the toe and the product is used on the ankle. We are working to obtain further information from the clinic and patient.
Patient Sequence No: 1, Text Type: N, H10


[39887235] Very little information was provided by the customer. We are working with them to obtain more information. The claim is the patient had a toe amputated due to pressure sores.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2085446-2016-00001
MDR Report Key5348122
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2016-01-06
Date of Report2016-01-06
Date of Event2015-11-23
Date Mfgr Received2015-12-18
Date Added to Maude2016-01-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMRS. KAREN MONTES
Manufacturer Street27051 TOWNE CENTRE DRIVE
Manufacturer CityFOOTHILL RANCH CA 92610
Manufacturer CountryUS
Manufacturer Postal92610
Manufacturer Phone9493823741
Manufacturer G1OSSUR AMERICAS
Manufacturer Street27051 TOWNE CENTRE
Manufacturer CityFOOTHILL RANCH CA 92610
Manufacturer CountryUS
Manufacturer Postal Code92610
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFOOT UP
Generic NameORTHOSIS
Product CodeKNP
Date Received2016-01-06
Model Number27810-2
Catalog Number27810-2
Lot NumberEN090706
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerOSSUR AMERICAS
Manufacturer Address27051 TOWNE CENTRE FOOTHILL RANCH CA 92610 US 92610


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2016-01-06

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