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 |