MAUDE Adverse Event Report: WALKING CANE

Device Problem Environmental Compatibility Problem (2929)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 05/11/2021

Event Type  Injury  

Event Description

A patient was escorted into the mri room with a walking cane.The cane was then put to lean against the scanner and became stuck due to magnetic pull.The tech was able to remove the cane without quenching/shutting down the machine.Fda safety report id # (b)(4).

• Brand Name: WALKING CANE
• Type of Device: CANE
• MDR Report Key: 11885452
• MDR Text Key: 253125570
• Report Number: MW5101553
• Device Sequence Number: 1
• Product Code: IPS
• Combination Product (y/n): Y
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date: 05/24/2021

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: No Information
• Is the Reporter a Health Professional?: Yes
• Initial Date Manufacturer Received: Not provided
• Initial Date FDA Received: 05/25/2021
• Was Device Evaluated by Manufacturer?: No Information
• Type of Device Usage: N
• Patient Sequence Number: 1
• Patient Outcome(s): Required Intervention
• Patient Age: 62 YR
• Patient Weight: 95