CANE, QUAD, SMALL BASE, CHROME
Received Mar 13, 2018 · Event occurred Feb 16, 2018
Report 1417592-2018-00014 · MDR key 7334495
Device
Generic name
Cane, Quad, Small Base, Chrome
Manufacturer
Medline Industries Inc.Catalog number
MDS86222CHR
Lot number
UNK
Product problems
- Insufficient Device Problem Information
Patient
43 YR
- Laceration(s)
- Laceration(s)
Narrative
Additional Manufacturer Narrative
IT WAS REPORTED BY THE CUSTOMER'S MOTHER THAT HER SON WAS STANDING UP USING HIS QUADCANE WHEN THE QUADCANE COLLAPSED DOWN RESULTING IN A FALL. REPORTEDLY, THE CANE BUTTON FOR HEIGHT ADJUSTMENT CAME LOOSE. THE CUSTOMER HIT HIS FOREHEAD ON THE FLOOR RESULTING IN A LACERATION THAT REQUIRED 9 STITCHES TO CLOSE. NUMEROUS ATTEMPTS HAVE BEEN MADE TO CONTACT THE CUSTOMER TO OBTAIN ADDITIONAL INFORMATION RELATED TO THE INCIDENT; HOWEVER THE CUSTOMER WAS NOT AVAILABLE TO BE ABLE TO OBTAIN ADDITIONAL DETAILS. THE DEVICE WAS NOT RETURNED FOR EVALUATION, THEREFORE A DEVICE ANALYSIS COULD NOT BE COMPLETED AND A ROOT CAUSE COULD NOT BE DETERMINED. DUE TO THE REPORTED INCIDENT, THIS MEDWATCH IS BEING FILED. NO ADDITIONAL INFORMATION WAS PROVIDED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE A SUPPLEMENTAL REPORT WILL BE SUBMITTED.
Description of Event or Problem
IT WAS REPORTED THAT THE CUSTOMER FELL WHILE USING QUADCANE SUSTAINING A LACERATION TO FOREHEAD.