FDA Adverse Event
Summary report: N
CANES
MDR report key: 2844070
·
Received November 25, 2012
Report
- Report Number
- 1531186-2012-01469
- Date Received
- November 25, 2012
- Report Date
- November 24, 2012
- Manufacturer
- PINGHU WEIFENG MATERIAL TECHNOLOGY
- Product Code
- IPS
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- PATIENT FAMILY MEMBER OR FRIEND
Narratives
Description of Event or Problem · 1
USER'S DAUGHTER CALLED STATING THAT HER MOTHER'S 7827 QUAD CANE ALLEGEDLY SNAPPED IN THE MIDDLE DURING USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CANES | 890.3075 | IPS | PINGHU WEIFENG MATERIAL TECHNOLOGY | 7827 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 65 MO | Other |