BEUDAMED
    FDA Adverse Event Death Summary report: N

    HURRYCANE

    MDR report key: 4575358 · Received July 2, 2014

    Report

    Report Number
    3009198231-2014-00001
    Event Type
    Death
    Date Received
    July 2, 2014
    Date of Event
    May 10, 2013
    Report Date
    June 17, 2014
    Manufacturer
    NINGBO LIMITED METAL PRODUCTS CO
    Product Code
    KHY
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    NC, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    (B)(6) PURCHASED A HURRYCANE AS A GIFT FOR HIS FATHER, (B)(6). THE SON, (B)(6), LIVES IN (B)(6) AND HIS FATHER LIVES IN (B)(6). (B)(6), THE SON, WAS NOT PRESENT AS TIME OF INCIDENT. (B)(6) REPORTED THAT HIS FATHER, (B)(6), HAD JUST GOTTEN HOME FROM 2 WEEKS OF REHAB AFTER HAVING HAD A PACEMAKER OPERATING AND HIS FATHER HAS BEEN HOME FOR 5 TO 6 DAYS. (B)(6) REPORTED THAT HIS FATHER NORMALLY USED A WALKER BUT WAS TRYING TO GET USED TO A CANE. (B)(6) FELL AND HIT HIS HEAD ON THE CARPETED FLOOR. NO ONE WITNESSED THE FALL. HIS WIFE CAME IN TO HELP HIM AND LATER GUESSED THAT HE CAUGHT THE CANE ON THE EDGE OF HIS WIFE'S RECLINER/ROCKER. THEY ALLEGE THAT WHEN HE LIFTED IT UP IT UNFOLDED AND HIS FATHER FELL AND HIT HIS HEAD ON THE CARPETED FLOOR. HE IS REPORTED TO HAVE SUFFERED FROM A BRAIN BLEED WHICH CAUSED HIS DEATH A FEW HOURS LATER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    389650 HURRYCANE WALKING CANE KHY NINGBO LIMITED METAL PRODUCTS CO 04297-3-R 1140

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Death