MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2017-10-25 for SYMBIONIC KNEE SMBE7280 manufactured by Ossur H/f.
[90234247]
Amputee patient fell while wearing a prosthetic knee and incurred a broken toe on sound side.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3003764610-2017-00004 |
| MDR Report Key | 6976631 |
| Report Source | HEALTH PROFESSIONAL |
| Date Received | 2017-10-25 |
| Date of Report | 2017-10-25 |
| Date of Event | 2017-08-29 |
| Date Mfgr Received | 2017-10-24 |
| Date Added to Maude | 2017-10-25 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MRS. KAREN MONTES |
| Manufacturer Street | 27051 TOWNE CENTRE |
| Manufacturer City | FOOTHILL RANCH CA 92610 |
| Manufacturer Country | US |
| Manufacturer Postal | 92610 |
| Manufacturer Phone | 9492757557 |
| Manufacturer G1 | OSSUR H/F |
| Manufacturer Street | GRJOTHALS 5 |
| Manufacturer City | REYKJAVIK, 110 |
| Manufacturer Country | IC |
| Manufacturer Postal Code | 110 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | SYMBIONIC KNEE |
| Generic Name | PROSTHETIC KNEE |
| Product Code | ISW |
| Date Received | 2017-10-25 |
| Model Number | SMBE7280 |
| Catalog Number | SMBE7280 |
| Operator | LAY USER/PATIENT |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | OSSUR H/F |
| Manufacturer Address | GRJOTHALS 5 REYKJAVIK, 110 IC 110 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2017-10-25 |