BEUDAMED
    FDA Adverse Event Other Summary report: N

    @CRUTCH, ALUMINUM, ADULT TALL

    MDR report key: 1455928 · Received August 21, 2009

    Report

    Report Number
    1417592-2009-00046
    Event Type
    Other
    Date Received
    August 21, 2009
    Date of Event
    July 21, 2009
    Report Date
    August 19, 2009
    Manufacturer
    MEDLINE INDUSTRIES, INC.
    Product Code
    IPR
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    END USER WAS RECOVERING FROM HEEL SURGERY. HIS LEFT FOOT WAS CASTED. HE WAS WALKING IN THE KITCHEN WHEN ONE OF THE CRUTCHES SLID OUT FROM UNDERNEATH HIM AND HE FELL. IN THE PROCESS, HE INJURED HIS RIGHT KNEE. HE REPORTED THAT THE CRUTCH TIP HAD WORN THROUGH AND EXPOSED THE METAL FROM THE CRUTCH. HE HAD AN MRI BUT RESULTS ARE STILL PENDING. RECEIVED PICTURES OF THE CRUTCH TIPS OUT NO PHYSICAL SAMPLES WERE SENT FOR EVAL. BOTH CRUTCH TIPS ARE SEEN WORN THROUGH IN THE PICTURES EXPOSING THE ADJUSTABLE TUBE. ONE OF THE TWO CRUTCH TIPS WAS WRAPPED WITH FABRIC. A ROOT CAUSE FOR THE INCIDENT HAS NOT BEEN DETERMINED. THE EXTENT OF ANY INJURIES RESULTING FROM THIS INCIDENT ARE NOT KNOWN. THE END USER DID REPORT THAT HE INJURED HIS KNEE AND SOUGHT MEDICAL ATTENTION. MRI RESULTS ARE PENDING. BASED ON THIS REPORT, AN MDR IS BEING FILED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE TIPS WORE THROUGH ON THE CRUTCHES AND EXPOSED THE METAL END OF THE CRUTCH. THE END USER FELL, INJURING HIS KNEE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 @CRUTCH, ALUMINUM, ADULT TALL NONE IPR MEDLINE INDUSTRIES, INC. MDSV80534 A080787778

    Patients

    Seq Age Sex Outcome Treatment
    1 Other