inforMED
MalfunctionIPS

ENDURANCE QUAD CANE

Received Jan 5, 2017 · Event occurred Sep 17, 2016

Report 1056127-2017-00001 · MDR key 6226138

Device

Generic name

Small Base Quad Cane

Model number

ST801-S

Catalog number

W1301S

Product problems

  • Fracture
  • Fracture

Patient

60 YR

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

PATIENT WAS USING A SMALL BASE QUAD CANE WHEN THE UPPER SHAFT BROKE AT THE THIRD ADJUSTMENT HOLE. THERE WAS NO INJURY.