EQUALIZER WALKER MEDIUM BLACK W0600BLK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-08-23 for EQUALIZER WALKER MEDIUM BLACK W0600BLK manufactured by Ossur Americas.

Event Text Entries

[52840035] Patient claims she developed a contact allergy while wearing the equalizer walker boot which then spread to her other foot and to her hands. Patient made a visit to the doctor and was prescribed steroids and other medications. Patient is no longer wearing the boot.
Patient Sequence No: 1, Text Type: D, B5


[57632481]
Patient Sequence No: 1, Text Type: N, H10


[57632482] Patient claims she developed a contact allergy while wearing the equalizer walker boot. Patient made a visit to the doctor and was prescribed steroids and other medications. The rash got worse when she started the medication and it then spread to her other foot and hands. She stopped wearing the product and the rash seems to be clearing up.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2085446-2016-00005
MDR Report Key5897898
Date Received2016-08-23
Date of Report2016-10-17
Date of Event2016-07-27
Date Mfgr Received2016-08-02
Date Added to Maude2016-08-23
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
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 NameEQUALIZER WALKER MEDIUM BLACK
Generic NameJOINT, ANKLE, EXTERNAL BRACE
Product CodeITW
Date Received2016-08-23
Model NumberW0600BLK
Catalog NumberW0600BLK
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. Other 2016-08-23

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