MAUDE Adverse Event Report: SAFETY CANE; CANE, SAFETY WALK

Device Problems Break (1069); Product Quality Problem (1506)

Patient Problem Fall (1848)

Event Date 03/05/2021

Event Type  No Answer Provided  

Event Description

While grocery shopping waiting for the door to slide open the reporter took a step with the use of his safety cane sold by tekno products and fell.The plastic top of the cane sheared off.Today while using his new cane same model and brand broke the same way and he tripped.He was able to brace himself between two dressers to prevent from falling."this may have product quality problem with two of the same type of canes breaking the same way.".

• Brand Name: SAFETY CANE
• Type of Device: CANE, SAFETY WALK
• MDR Report Key: 11619057
• MDR Text Key: 244258499
• Report Number: MW5100575
• Device Sequence Number: 1
• Product Code: KHY
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Patient
• Type of Report: Initial
• Report Date: 04/05/2021
• 2 Devices were Involved in the Event: 1 2

1 Patient was Involved in the Event

• Date FDA Received: 04/05/2021
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: No
• Device Operator: No Information
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: No
• Was Device Evaluated by Manufacturer?: No Information
• Type of Device Usage: N
• Patient Sequence Number: 1