inforMED
InjuryIPS

LUMEX

Received Sep 29, 2016 · Event occurred Apr 14, 2016

Report 2428983-2016-00001 · MDR key 5986609

Device

Generic name

Walkcane

Model number

6140A

Lot number

BMR291MO

Product problems

  • Bent

Patient

66 YR

  • Fall
  • Disability
  • Fall
  • Disability

Narrative

Description of Event or Problem

ON (B)(6) 2016: THE END-USER'S ATTORNEY STATED HIS DISABLED CLIENT WAS USING THE QUAD CANE WHILE AMBULATING WITHIN HIS APARTMENT WHEN THE CANE SUDDENLY BENT CAUSING HIM TO FALL FACE FORWARD ONTO THE FLOOR, RESULTING IN A BRUISE/ CONTUSION TO HIS CHEST AND SHOULDER. ON (B)(6) 2016: GF HEALTH PRODUCTS, INC. RECEIVED WRITTEN DOCUMENTATION ALLEGING THE END-USER HAS A 10% PERMANENT DISABILITY RATING RELATED TO THE (B)(6) 2016 FALL.