BEUDAMED
    FDA Adverse Event Other Summary report: N

    GUARDIAN QUADCANE

    MDR report key: 317850 · Received February 28, 2001

    Report

    Report Number
    2020334-2001-00005
    Event Type
    Other
    Date Received
    February 28, 2001
    Report Date
    February 28, 2001
    Manufacturer
    SUNRISE MEDICAL PCP DIV
    Product Code
    IPS
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE END USER WAS APPROACHING THE COMMODE, WHEN ALLEGEDLY THE CANE BROKE, WHICH WAS ASSISTING USER TO REACH THE COMMODE. THE USER FELL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    8434 GUARDIAN QUADCANE CANE IPS SUNRISE MEDICAL PCP DIV 5345S NA

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Other