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 |