FDA Adverse Event Malfunction Summary report: N

HURRYCANE

MDR report key: 11831574 · Received May 14, 2021

Report

Report Number
MW5101371
Event Type
Malfunction
Date Received
May 14, 2021
Date of Event
May 11, 2021
Report Date
May 12, 2021
Manufacturer
HURRYWORKS LLC
Product Code
KHY
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
MD, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

WHILE WALKING WITH A HURRYCANE, THE HANDLE SEPARATED FROM THE SHAFT OF THE CANE. FORTUNATELY, I WAS ABLE TO BALANCE MYSELF AND NOT FALL. FDA SAFETY REPORT ID # (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
725660 HURRYCANE CANE, SAFETY WALK KHY HURRYWORKS LLC

Patients

Seq Age Sex Outcome Treatment
1 68 YR