FDA Adverse Event
Summary report: N
CANES
MDR report key: 2973244
·
Received February 21, 2013
Report
- Report Number
- 1531186-2013-00699
- Date Received
- February 21, 2013
- Report Date
- February 21, 2013
- 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
(B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. DEALER STATES THE LOCK IS BROKEN. MDR FILED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 76175 | CANES | 890.3075 | IPS | PINGHU WEIFENG MATERIAL TECHNOLOGY | 40918-6 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |