FDA Adverse Event
Summary report: N
CANES
MDR report key: 3140876
·
Received June 3, 2013
Report
- Report Number
- 1531186-2013-02396
- Date Received
- June 3, 2013
- Report Date
- May 6, 2013
- Manufacturer
- HL CORP. (SHENZHEN)
- Product Code
- IPS
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
POTENTIAL FOR INJURY ASSOCIATED WITH A WELD THAT BROKE ON A 3920-2 CANE THIS EVENT CAN CAUSE THE DEVICE TO BE UNSTABLE AND A FALL INJURY MAY OCCUR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 245262 | CANES | 890.3075 | IPS | HL CORP. (SHENZHEN) | 3920-2 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |