BEUDAMED
    FDA Adverse Event Summary report: N

    CANES

    MDR report key: 3884020 · Received June 19, 2014

    Report

    Report Number
    1531186-2014-02168
    Date Received
    June 19, 2014
    Report Date
    May 20, 2014
    Manufacturer
    PINGHU WEIFENG MATERIAL TECHNOLOGY
    Product Code
    IPS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES THE CANE IS BROKEN AT THE BOTTOM WELD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    361488 CANES 890.3075 IPS PINGHU WEIFENG MATERIAL TECHNOLOGY 3920-2

    Patients

    Seq Age Sex Outcome Treatment
    1 Other