FDA Adverse Event
Summary report: N
CANES
MDR report key: 2874814
·
Received December 16, 2012
Report
- Report Number
- 1531186-2012-01768
- Date Received
- December 16, 2012
- Report Date
- December 15, 2012
- Manufacturer
- HL CORP. (SHENZHEN)
- Product Code
- IPS
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER STATED THAT THE CAMLOCK ON AN UNKNOWN CANE HAS BROKEN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CANES | 890.3075 | IPS | HL CORP. (SHENZHEN) | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |