FDA Adverse Event Malfunction Summary report: N

CANE

MDR report key: 3232204 · Received October 4, 2012

Report

Report Number
1000282279-2012-00028
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
MN, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE CONSUMER STATES, THE CANE CRACKED IN HALF. NO INJURY REPORTED. REF (B)(4).

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 80 YR Other