FDA Adverse Event
Summary report: N
CANES
MDR report key: 3033972
·
Received April 3, 2013
Report
- Report Number
- 1531186-2013-01395
- Date Received
- April 3, 2013
- Report Date
- March 7, 2013
- Manufacturer
- UNKNOWN
- Product Code
- IPS
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
PER CONSUMER CAM LOCK BROKE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 137230 | CANES | 890.3075 | IPS | UNKNOWN | 40918-6 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 76 | Other |