BEUDAMED
    FDA Adverse Event Summary report: N

    CANES

    MDR report key: 2586384 · Received May 24, 2012

    Report

    Report Number
    1531186-2012-00314
    Date Received
    May 24, 2012
    Report Date
    May 21, 2012
    Manufacturer
    HL CORP. (SHENZHEN)
    Product Code
    IPS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Additional Manufacturer Narrative · 1

    THE CONSUMER IS A (B)(6) MALE. THE CONSUMER STATED THAT HE RECEIVED THE CANE FROM THE VA AND IT DID NOT HAVE A SUPPORT COLLAR. THE CANE IS ALLEGEDLY WOBBLY WHEN HE ATTEMPTS TO USE IT. CONSUMER IS TO RETURN THE CANE BACK TO THE VA FOR A REPLACEMENT. NO INJURY. NO RMA ISSUED.

    Description of Event or Problem · 1

    CUSTOMER ALLEGES HE RECEIVED CANE WITHOUT THE SUPPORT COLLAR. NO INJURY ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CANES 890.3075 IPS HL CORP. (SHENZHEN) 3920-2

    Patients

    Seq Age Sex Outcome Treatment
    1 91 MO Other