FOREARM CRUTCHES LOT # SKD

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-07 for FOREARM CRUTCHES LOT # SKD manufactured by Kx Medical.

Event Text Entries

[107743004] 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.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5077062
MDR Report Key7494210
Date Received2018-05-07
Date of Report2018-05-04
Date of Event2018-05-02
Date Added to Maude2018-05-08
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameFOREARM CRUTCHES
Generic NameFOREARM CRUTCHES
Product CodeIPR
Date Received2018-05-07
Model NumberLOT # SKD
Lot NumberSKD
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerKX MEDICAL


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-05-07

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