inforMED
MalfunctionIPS

CANE, QUAD, LARGE BASE, BLACK

Received Nov 20, 2019 · Event occurred Nov 1, 2019

Report 1417592-2019-00198 · MDR key 9346840

Device

Generic name

Cane, Quad, Large Base, Black

Catalog number

MDS86228

Lot number

15117120003

Product problems

  • Break

Patient

61 YR

  • Fall
  • Pain
  • Inadequate Pain Relief
  • Fall
  • Pain
  • Inadequate Pain Relief

Narrative

Additional Manufacturer Narrative

IT WAS REPORTED THAT THE QUAD CANE "SNAPPED" AS THE END-USER WAS LEANING FORWARD WHILE HOLDING ON TO THE DEVICE. THE END-USER EXPERIENCED A RIGHT SIDED FALL ONTO CARPETED FLOORING. AS THE END-USER FELL HE REPORTEDLY HIT HIS RIGHT HIP ON A COFFEE TABLE AND "GASHED" HIS KNEE AND BACK ON AN ENTRYWAY TABLE. HE WAS ASSISTED BACK UP BY A FAMILY MEMBER. THE END-USER EXPERIENCED SORENESS AND PAIN "ALL OVER" AND REPORTED DIFFICULTY SITTING DOWN ON HIS RIGHT BUTTOCK. FOLLOWING AN UNSPECIFIED PERIOD OF TIME AFTER THE FALL INCIDENT, THE END-USER REPORTEDLY WENT TO SEE HIS PRIMARY CARE PHYSICIAN AND HE WAS PRESCRIBED PERCOCET FOR PAIN CONTROL. NO DIAGNOSTIC EXAMS/RESULTS OR MEDICAL INTERVENTIONS WERE REPORTED TO THE MANUFACTURER. NO SAMPLE WAS RETURNED TO THE MANUFACTURER FOR EVALUATION. A ROOT CAUSE FOR THE REPORTED INCIDENT WAS UNABLE TO BE DETERMINED. DUE TO THE REPORTED NEED FOR PRESCRIPTION MEDICATION, THIS MEDWATCH IS BEING FILED. IF ADDITIONAL RELEVANT INFORMATION BECOMES AVAILABLE A SUPPLEMENTAL MEDWATCH WILL BE FILED.

Description of Event or Problem

IT WAS REPORTED THAT THE QUAD CANE "SNAPPED" AND THE END-USER EXPERIENCED A FALL.