FDA Adverse Event Summary report: N

CANES

MDR report key: 2583847 · Received May 22, 2012

Report

Report Number
1531186-2012-00290
Date Received
May 22, 2012
Report Date
May 18, 2012
Manufacturer
HL CORP. (SHENZHEN)
Product Code
IPS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

CUSTOMER ALLEGED THE LOCKING COLLAR THAT REDUCES RATTLES BROKE. NO INJURY ALLEGED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CANES 890.3075 IPS HL CORP. (SHENZHEN) 40918-6

Patients

Seq Age Sex Outcome Treatment
1 Other