inforMED
InjuryIPS

CANE, QUAD, SMALL BASE, BLACK

Received Sep 14, 2021 · Event occurred Aug 1, 2021

Report 1417592-2021-00166 · MDR key 12467894

Device

Generic name

Cane, Quad, Small Base, Black

Catalog number

MDS86222W

Lot number

J110225801

Product problems

  • Material Protrusion/Extrusion

Patient

92 YR

  • Laceration(s)
  • Laceration(s)

Narrative

Additional Manufacturer Narrative

IT WAS REPORTED, "HER MOTHER-IN-LAW USED THE CANE AND WAS INJURED BY A BOLT STICKING OUT OF IT AND GOT 19 STITCHES." THE MOTHER-IN-LAW IS (B)(6), AND THE INCIDENT OCCURRED APPROXIMATELY ONE MONTH PRIOR ((B)(6) 2021). THE REPORTER ((B)(6), THE DAUGHTER-IN-LAW), STATES, "(B)(6) WAS WALKING OUTSIDE, SHE TRIPPED IN A HOLE AND FELL, AND CUT HER LEG OPEN." NO ADDITIONAL DETAILS ARE AVAILABLE RELATED TO THE CUSTOMER REPORTED ISSUE. DESPITE MULTIPLE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE CUSTOMER CONTACT WAS UNABLE OR UNWILLING TO PROVIDE FURTHER INCIDENT DETAILS TO THE MANUFACTURER. THE SAMPLE HAS NOT BEEN RETURNED. THEREFORE, A ROOT CAUSE WILL BE DIFFICULT OR IMPOSSIBLE TO DETERMINE. DUE TO THE REPORTED INCIDENT, MEDICAL INTERVENTION AND IN AN ABUNDANCE OF CAUTION, THIS MED WATCH IS BEING FILED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MED WATCH WILL BE SUBMITTED.

Description of Event or Problem

IT WAS REPORTED, "HER MOTHER-IN-LAW USED THE CANE AND WAS INJURED BY A BOLT STICKING OUT OF IT AND GOT 19 STITCHES."