MAPLE LEAF 146-S

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-10-19 for MAPLE LEAF 146-S manufactured by Becker Orthopedic Appliance Co..

Event Text Entries

[124343459] Pressure ulcer developed on the posterior right leg located under the brace. Back of the brace was noted to be hard and applied pressure to the thigh.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7983914
MDR Report Key7983914
Date Received2018-10-19
Date of Report2018-10-12
Date of Event2018-10-03
Report Date2018-10-12
Date Reported to FDA2018-10-12
Date Reported to Mfgr2018-10-19
Date Added to Maude2018-10-19
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
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 FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMAPLE LEAF
Generic NameJOINT, HIP, EXTERNAL BRACE
Product CodeITS
Date Received2018-10-19
Model Number146-S
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerBECKER ORTHOPEDIC APPLIANCE CO.
Manufacturer Address635 EXECUTIVE DRIVE TROY MI 48083 US 48083


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-10-19

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