inforMED

CRUTCH

Received Oct 8, 2014 · Event occurred Oct 7, 2014

Report 1531186-2014-04789 · MDR key 4152038

Device

Generic name

890.3150

Manufacturer

Jan Mao

Model number

8153-A

Product problems

  • Material Separation

Patient

71 MO

  • Fall
  • Discomfort

Narrative

Description of Event or Problem

DEALER STATED THAT THE END USER WAS WALKING WITH HER 813-A ELBOW CRUTCH WHEN THE RIVET THAT CONNECTS THE CUFF TO THE CANE SNAPPED OFF. DEALER ADVISED END USER FELL INSIDE OF HER HOME, IN THE HALLWAY, AGAINST THE WALL, THEN DOWN TO THE GROUND, CAUSING HER RIGHT ELBOW AND ARM TO BE IN PAIN. END USER DID NOT SEEK ANY MEDICAL ATTENTION AT THIS TIME.