BEUDAMED
    FDA Adverse Event Summary report: N

    SAFETY CANE

    MDR report key: 11619057 · Received April 5, 2021

    Report

    Report Number
    MW5100575
    Date Received
    April 5, 2021
    Date of Event
    March 5, 2021
    Report Date
    April 5, 2021
    Manufacturer
    UNK
    Product Code
    KHY
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    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."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    513629 SAFETY CANE CANE, SAFETY WALK KHY UNK
    513630 SAFETY CANE CANE, SAFETY WALK KHY UNK

    Patients

    Seq Age Sex Outcome Treatment
    1