BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CANE

    MDR report key: 3232161 · Received October 4, 2012

    Report

    Report Number
    1000282279-2012-00030
    Event Type
    Malfunction
    Date Received
    October 4, 2012
    Report Date
    October 4, 2012
    Manufacturer
    FOSHAN R. POON MEDICAL PRODUCTS CO., LTD.
    Product Code
    IPS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CONSUMER CALLED STATING THAT THE CAMLOCK IS ALLEGEDLY MISSING ON HIS UNKNOWN CANE, UNSURE HOW HE LOST IT. PRODUCT HAS BEEN REPLACED. NO INJURY ALLEGED. THE MALFUNCTION HAS NOT BEEN CONFIRMED. REF (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CANE CANE IPS FOSHAN R. POON MEDICAL PRODUCTS CO., LTD.

    Patients

    Seq Age Sex Outcome Treatment
    1 90 YR Other