BEUDAMED
    FDA Adverse Event Summary report: N

    CANES

    MDR report key: 3011797 · Received March 19, 2013

    Report

    Report Number
    1531186-2013-01139
    Date Received
    March 19, 2013
    Date of Event
    January 28, 2013
    Report Date
    February 19, 2013
    Manufacturer
    PINGHU WEIFENG MATERIAL TECHNOLOGY
    Product Code
    IPS
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    THE CONSUMER REPORTED THAT WHILE AT A DOCTOR'S APPOINTMENT, HER CANE FELL ON THE FLOOR AND WHEN SHE WENT TO PICK IT UP SHE FELL. NO FURTHER INFORMATION IS AVAILABLE AT THIS TIME. CONSUMER DID NOT SAY SHE WAS INJURED WHEN SHE FELL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    114267 CANES 890.3075 IPS PINGHU WEIFENG MATERIAL TECHNOLOGY 40918-6

    Patients

    Seq Age Sex Outcome Treatment
    1 55 Other