MCKESSON PUSH BUTTON ALUMINUM CRUTCH 14-905

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 99 report with the FDA on 2015-04-21 for MCKESSON PUSH BUTTON ALUMINUM CRUTCH 14-905 manufactured by Jan Mai Industries Co Ltd.

Event Text Entries

[17585070] The pt claims that her crutches needed to be adjusted. While trying to adjust the crutch, the pt severed her left ring finger (fatty part) behind her nail. She was treated at urgent care and released. Urgent care was unable to stitch her finger and they had to cauterize it. On (b)(6) 2015, the pt was contacted to obtain info. The pt explained that she couldn't get the crutch to adjust and that it was "sticking" badly. She had to use force to get it to move. The crutch cut off the flesh at the end of her finger and under her nail. This occurred saturday (b)(6) 2015. She went to get treatment and her wound was cauterized with silver nitrate. She had to get several shots, including tetanus, as well as several local anesthetics. The pt stated she still has the crutch if it is needed for investigation. Additional follow up was conducted with the pt on (b)(6) 2015 (to obtain info required for this report). The pt provided further clarification that the pad of her finger got caught in one of the pre-drilled holes used to adjust the height of the crutch.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1451040-2015-00002
MDR Report Key4723712
Report Source99
Date Received2015-04-21
Date of Report2015-03-25
Date of Event2015-03-21
Date Facility Aware2015-03-27
Report Date2015-04-21
Date Added to Maude2015-04-24
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer Street1202 SOUTH ROUTE 31
Manufacturer CityMCHENRY IL 60050
Manufacturer CountryUS
Manufacturer Postal60050
Manufacturer G1CYPRESS MEDICAL PRODUCTS LLC
Manufacturer Street1202 SOUTH ROUTE 31
Manufacturer CityMCHENRY IL 60050
Manufacturer CountryUS
Manufacturer Postal Code60050
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameMCKESSON PUSH BUTTON ALUMINUM CRUTCH
Product CodeIPR
Date Received2015-04-21
Catalog Number14-905
OperatorLAY USER/PATIENT
Device AvailabilityY
Device AgeDA
Device Sequence No1
Device Event Key0
ManufacturerJAN MAI INDUSTRIES CO LTD
Manufacturer AddressNO 181 CHU LIAO RD TA SU HSIANG, KAOHSIUNG COUNTY


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2015-04-21

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