FDA Adverse Event Malfunction Summary report: N

DRIVE DEVILBISS HURRYCANE

MDR report key: 22484760 · Received July 11, 2025

Report

Report Number
3014644996-2025-00004
Event Type
Malfunction
Date Received
July 11, 2025
Date of Event
June 22, 2025
Report Date
July 11, 2025
Manufacturer
COM-DA HEALTHCARE CO.,LTD
Product Code
IPS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

DRIVE DEVILBISS HEALTHCARE WAS NOTIFIED OF AN INCIDENT INVOLVING A CANE BY THE END USER, WHO STATED THE DETENT PIN FAILED WHEN WEIGHT WAS APPLIED TO THE CANE, CAUSING THE CANE TO FALL DOWN 2 NOTCHES. THE END USER REPORTED THAT HE ALMOST FELL. THERE WAS NO REPORT OR EVIDENCE OF ILLNESS, SERIOUS INJURY OR MEDICAL TREATMENT ASSOCIATED WITH THE COMPLAINT. AS PART OF ITS COMPLAINT REVIEW AND EVALUATION PROCESS, DRIVE DEVILBISS HEALTHCARE WILL ALSO NOTIFY THE MANUFACTURER OF THE PRODUCT ABOUT THIS COMPLAINT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
874069 DRIVE DEVILBISS HURRYCANE CANE IPS COM-DA HEALTHCARE CO.,LTD HCANE-RD-C2

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown