FDA Adverse Event Injury Summary report: N

HURRYWORKS

MDR report key: 12085717 · Received June 29, 2021

Report

Report Number
2438477-2021-00027
Event Type
Injury
Date Received
June 29, 2021
Date of Event
May 8, 2021
Report Date
June 29, 2021
Manufacturer
COM-DA HEALTHCARE CO.,LTD
Product Code
IPS
UDI-DI
00822383571034
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

(B)(6) IS THE INITIAL IMPORTER OF THE DEVICE WHICH IS A CANE BRANDED HURRYWORKS. WE HAVE NOT RECEIVED THE DEVICE FOR EVALUATION. WE ARE FILING THIS REPORT IN AN OVERABUNDANCE OF CAUTION. WE WILL SUBMIT A FOLLOWUP WHEN NEW DATA BECOMES AVAILABLE. THE TOP OF THE CANE SNAPPED OFF AND EXPOSED METAL AND SCREW WHILE THE USER WAS WALKING IN THE KITCHEN. HE IS SIX FOOT TWO INCHES TALL. THE BROKEN CANE REPORTEDLY PUNCTURED HIS SHOULDER CAUSING BLEEDING AND HIS KNEES FOLDED BACKWARDS. HE ADVISED THAT HE CAN BARELY WALK AT ALL NOW. HE IS LOOKING FOR COMPENSATION. NO ADDITIONAL INFORMAITON HAS BEEN PROVIDED AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
979405 HURRYWORKS CANE IPS COM-DA HEALTHCARE CO.,LTD HCANE-BK-C2 00822383571034

Patients

Seq Age Sex Outcome Treatment
1 41 YR Required Intervention