inforMED
InjuryIPS

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

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.