InjuryIPS
CANE, QUAD
Received Dec 11, 2015 · Event occurred Nov 18, 2014
Report 1417592-2015-00114 · MDR key 5289639
Device
Generic name
Cane, Quad
Manufacturer
Medline Industries, Inc.Catalog number
MDS86222BRZ
Lot number
J081299607
Product problems
- Insufficient Device Problem Information
Patient
Not reported
- Fall
- Bone Fracture(s)
Narrative
Additional Manufacturer Narrative
IT WAS REPORTED THAT THE CANE BROKE AND THE END USER FELL FRACTURING HER CLAVICLE. WE HAVE NOT BEEN PROVIDED ANY ADDITIONAL DETAILS. NO SAMPLE WAS RETURNED FOR EVALUATION. IT IS UNKNOWN IF THE CANE BROKE CAUSING THE END USER TO FALL OR IF THE CANE BROKE AS A RESULT OF THE FALL. A ROOT CAUSE HAS NOT BEEN DETERMINED, HOWEVER DUE TO THE REPORTED INCIDENT AND IN AN ABUNDANCE OF CAUTION, THIS MEDWATCH IS BEING FILED.
Description of Event or Problem
THE END USER FELL WHILE USING THE CANE AND FRACTURED HER CLAVICLE.