MalfunctionIPS
DESIGNER SMALL BASE QUAD CANE
Received Jun 5, 2015 · Event occurred May 15, 2015
Report 1056127-2015-00014 · MDR key 4827670
Device
Generic name
Small Base Quad Cane
Manufacturer
Foshan R. Poon Medical Products Co. LtdModel number
RPM70005Catalog number
W1303I
Product problems
- Crack
Patient
70 YR
- Fall
Narrative
Description of Event or Problem
CAREGIVER STATED THAT THE PATIENT WAS ATTEMPTING TO GET OUT OF A CHAIR AND WHEN LEANING ON THE CANE. THE CANE SHAFT CRACKED CAUSING HIM TO FALL.