BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FOREARM CRUTCHES

    MDR report key: 7494210 · Received May 7, 2018

    Report

    Report Number
    MW5077062
    Event Type
    Injury
    Date Received
    May 7, 2018
    Date of Event
    May 2, 2018
    Report Date
    May 4, 2018
    Manufacturer
    KX MEDICAL
    Product Code
    IPR
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    FOREARM CRUTCHES PURCHASED FROM KX MEDICAL 2014 SNAPPED IN HALF WHILE WALKING. CRUTCH WAS REPLACED BY COMPANY IN 2016. EXACT SAME CRUTCH FAILURE HAPPENED AGAIN IN 2018. ALUMINIUM JUST SNAPPED IN HALF CAUSING ME TO FALL. I AM DISABLED (1991) AND REQUIRE CRUTCHES FOR AMBULATION. NEVER HAD FAILURE WITH ANY OTHER BRAND OF CRUTCH. THIS IS REPEAT FAILURE OF EXACT SAME PROBLEM WITH EXACT SAME EQUIPMENT AND SAME MANUFACTURER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    332283 FOREARM CRUTCHES FOREARM CRUTCHES IPR KX MEDICAL LOT # SKD SKD

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Other