inforMED
InjuryIPS

SMALL BASE OFFSET QUAD CAN

Received Jul 8, 2016 · Event occurred May 6, 2016

Report 3005182235-2016-00012 · MDR key 5778746

Device

Generic name

Cane

Model number

FGA758C0 0000

Catalog number

A758-C0

Product problems

  • Break
  • Break

Patient

Not reported

  • Bruise/Contusion
  • Head Injury
  • Bruise/Contusion
  • Head Injury

Narrative

Description of Event or Problem

CORRECT MANUFACTURER IDENTIFIED 7/12/2016.

Description of Event or Problem

LETTER EMAILED FROM LAW FIRM REGARDING A CANE. THE CANE BROKE OFF, RIGHT BELOW THE HANDLE, DURING ROUTINE USE. THE END-USER HIT HIS HEAD, RESULTING IN TWO BLACK EYES, AND SEVERE NECK PAINS.