inforMED
InjuryIPS

CANE, QUAD, SMALL BASE, CHROME

Received Sep 20, 2023 · Event occurred Jul 19, 2023

Report 1417592-2023-00378 · MDR key 17785283

Device

Generic name

Cane, Quad, Small Base, Chrome

Catalog number

MDS86222CHR

Lot number

15122080001

Product problems

  • Material Integrity Problem
  • Material Integrity Problem

Patient

Unknown

  • Hemorrhage/Blood Loss/Bleeding
  • Hemorrhage/Blood Loss/Bleeding

Narrative

Additional Manufacturer Narrative

ACCORDING TO THE CUSTOMER, HIS LEFT FOOT "GOT CAUGHT ON THE FLOOR" AND THE RUBBER ON THE BOTTOM OF THE CANE "FELL OFF" CAUSING HIM TO FALL "SIDEWAYS INTO THE COUNTER". THE CUSTOMER REPORTED WHEN IT'S HOT OUTSIDE THE RUBBER BOTTOM "LOOSENS" AND CAUSES THE RUBBER BOTTOM TO FALL OFF. THE CUSTOMER REPORTED WHEN HE FELL INTO THE COUNTER, HIS TOP TEETH WERE "KNOCKED OUT" AND HIS BOTTOM TEETH WERE "PUSHED FORWARD AND BACKWARD OUT OF PLACE". THE CUSTOMER REPORTED HE WENT TO HIS PHYSICIAN WHO MANUALLY PUSHED THE BOTTOM TEETH BACK INTO THE GUM AND APPLIED PRESSURE TO STOP THE GUMS FROM BLEEDING. THE CUSTOMER REPORTED HIS GUMS CONTINUED TO BLEED AND HE REQUIRED AN EMERGENCY ROOM VISIT WHERE MORE PRESSURE WAS APPLIED TO STOP THE BLEEDING. SAMPLE REQUESTED FOR RETURN EVALUATION. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT CAUSED OR CONTRIBUTED TO SERIOUS INJURY, THEREFORE, THIS MEDWATCH IS BEING FILED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED.

Description of Event or Problem

ACCORDING TO THE CUSTOMER, HIS LEFT FOOT "GOT CAUGHT ON THE FLOOR" AND THE RUBBER ON THE BOTTOM OF THE CANE "FELL OFF" CAUSING HIM TO FALL "SIDEWAYS INTO THE COUNTER".