InjuryIPS
WALGREENS
Received Apr 6, 2016 · Event occurred Jun 20, 2015
Report 2438477-2016-00017 · MDR key 5552576
Device
Product problems
- Detachment of Device or Device Component
- Detachment of Device or Device Component
Patient
58 YR
- Bone Fracture(s)
- Bone Fracture(s)
Narrative
Description of Event or Problem
DRIVE MEDICAL RECEIVED NOTICE REGARDING THE INCIDENT FROM THE RETAILER INVOLVING A CANE, A PRODUCT IMPORTED AND DISTRIBUTED BY (B)(4). THE ENDUSER WAS IN THE KITCHEN AREA WITH THE CANE. SHE LEANED BACK AWAY FROM THE DOOR OF THE REFRIGERATOR AND THE CANE ALLEGEDLY SNAPPED CAUSING HER TO FALL AND BREAK A RIB. DUE TO LACK OF PRODUCT INFORMATION, WE WERE UNABLE TO IDENTIFY THE NATURE OF THE DEFECT FOR THIS PRODUCT. THIS REPORT IS BASED ON THE INFORMATION PROVIDED FROM THE RETAILER.