FDA Adverse Event Summary report: N

CANES

MDR report key: 2873146 · Received December 13, 2012

Report

Report Number
1531186-2012-01739
Date Received
December 13, 2012
Report Date
December 13, 2012
Manufacturer
PINGHU WEIFENG MATERIAL TECHNOLOGY
Product Code
IPS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

ON (B)(6) - THE DEALER REPORTED THAT THE UNKNOWN MODEL CANE PLASTIC LOCK WAS CRACKED, AND WOULD NOT LONGER LOCK. THERE WAS NO PATIENT INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CANES 890.3075 IPS PINGHU WEIFENG MATERIAL TECHNOLOGY UNKNWON

Patients

Seq Age Sex Outcome Treatment
1 Other