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Nike sued over diabetic's foot infection

Discussion in 'Podiatry Trivia' started by NewsBot, Jul 11, 2009.

  1. NewsBot

    NewsBot The Admin that posts the news.

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    Nike sued over diabetic's foot infection
    Full story
     
  2. Boots n all

    Boots n all Well-Known Member

    Reading the article, most of this could have been avoided if the
    client was given some advise "breaking in with periodical wearing" with the product.

    Of course when the product was purchased it does not sound like the
    client was even present at the time of purchase, so some
    responsibility of not all would lay with the plaintiff.

    What diabetic with PN would buy shoes with them been fitted....yes l know the answer to my own question........."Most":hammer:
     
  3. kitos

    kitos Active Member

    Funnily enough I had a teenage client who was getting terrible pain in both feet mid foot. Heavy callus was present and he kept changing to different socks and checking the insoles and to no effect...it was crippling him to run.

    Brought in his Nike's to show me, pulled out the insole and low and behold this great wedge of metal in mid foot area and proud of the bottom of the shoe. Told him to throw them away and buy a pair of Asics.... did so no more problems and recently ran a marathon in them!

    Moral of the story apart from don't buy Nike with this fitting????

    Nick
     
  4. Griff

    Griff Moderator

    Nick,

    Which particular Nike running shoe was it he was using? I have never seen any with metal in the mid foot area that I can recall?

    Thanks

    Ian
     
  5. Don ESWT

    Don ESWT Active Member

    To all,
    This is an interesting case.
    1. The patient's wife purchased the footwear - how did she determine the correct size for her husband.
    2. As we tell all our patient's especially diabetics - CHECK your feet on a daily basis.
    3. Change socks on a daily basis and if they get wet - immediately.
    4. Was there a history of PN prior to the incident
    5. Seek medical assistance immediately. How long after injury was medical assistance given?
    6. If he was fishing could the sharp object be related to his activities - fishing hook, wire, sinker material?

    Nike has to defend one thing - how did the foreign object get through several layers of EVA and other cushioning material?
    - If the object was protruding out of the innersole in could have come from the injection moulding process when the EVA was in a liquid state and when the EVA solidified the foreign object sat proud of the sole. The first innersole would the be laid on top of the sole. The removable innersole would then be place into the shoe the toe box area would then be stuffed with wadding, boxed and sent out of the factory.
    Where were the shoes made - was there any quality control on the production line
    If the object penetrated though the outer sole there is no case to answer.

    The easiest tests to determine fault - scan the shoe and then cut the shoe carefully to pieces by an independent laboratory.

    Don
     
    Last edited: Jul 16, 2009
  6. kitos

    kitos Active Member

    Hi Ian,

    Off the top of my head they were Pegasus about £75 ish. Having looked in the shop that he bought them from it would appear that the shoes he had may have been older stock that they cleared out. The new Pegasus don't have this metal insert in them. ( I have ripped out every insole of every Nike that I have seen in the shop) The owner of the shop was as surprised as I was when I originally showed him the shoe and when I spoke to him today (having seen this thread) he said that he now checks all the Nike's to make sure that he doesn't put any on the shelf with the metal in BUT Nike appears to have changed and none of them have it in at present.

    I can only think that they were trying to put a mid sole stiffener in and it may have back fired dramatically on them.

    I'll see the patient on Monday I think and I can ask him to confirm model if he remembers but I know it was at the top end of the range.

    Best wishes
    Nick
     
  7. kitos

    kitos Active Member

    Hi Don,

    The Nike shoes that I am talking about had the metal proud of the insole it was never ever embedded below any EVA, poron or any padding at all. You lifted the insole and bang there it was staring at you. If I can I'll ask him to bring it in and take a picture and post it on here.

    Best wishes
    Nick
     
  8. Boots n all

    Boots n all Well-Known Member

    Don said "...from the injection moulding process when the EVA was in a liquid state and when the EVA solidified the foreign object...."

    Several things are in place that should have stopped most objects getting in.

    It would have to be a very small piece to get through the injection nosile, maybe 2 mm long and about 1mm wide and even then l doubt it? the tolerances in the injection barrel are small, any foreign object will normally get stuck inside the barrel ($$$$) or in the injection channel of the mold, our injection channels in our molds are1.5mm diameter with a 45 degree bend before the sole, the break point for the shot.

    Most hoppers that the raw material is poured into are fitted with magnets to stop metal objects getting in as an injection barrel is worth several thousand dollars and will not tolerate metal objects very well at all.

    And finally the temperature that we run our injection molder at is 175 degrees for the barrel and 200 for the nosile, meaning any and all plastic objects should have melted.

    Of course "Murphy's law" should always been taken into account. :wacko:
     
  9. Don ESWT

    Don ESWT Active Member

    David,
    You make a good point about the injection moulding process and that foreign object can be stopped by magnets.

    Nick,
    Photo's would be great
     
  10. kitos

    kitos Active Member

    I'll see what I can do next week re pics.
    Nick
     
  11. Don ESWT

    Don ESWT Active Member

    All,
    A patient presented with a pair of joggers. Inside the joggers was a small plastic bar code device. I removed this object but it came apart while I was removing it and there were three foil strips embedded in the bar code

    Don Scott
     
  12. Euan McGivern

    Euan McGivern Active Member

    Don,

    That sounds like a shop security tag, they are long thin strips with an adhesive back containing 3 thin strips of foil, some have barcodes printed on the outside. They will trigger the store's alarms in the same way as the larger tags we are used to seeing on clothing. The stores have systems to deactivate these adhesive tags without removing them.

    It is unusual, but not unheard of, for stores to put these in footwear, in this instance I doubt the manufacturer would have put it there.

    Cheers
    Euan
     
  13. Don ESWT

    Don ESWT Active Member

    Euan,
    That is exactly what they are. These two barcode device were under the innersole. I still have them. The foil strips are very sharp.
    What could have happened is conjecture, it could have been the store who put a security device inside the shoe and it worked it's way out of position and caused the injury to the diabetic foot? Who Knows!

    Don
     
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