FDA Adverse Event
Summary report: N
CANES
MDR report key: 3903167
·
Received June 30, 2014
Report
- Report Number
- 1531186-2014-02286
- Date Received
- June 30, 2014
- Date of Event
- May 19, 2014
- Report Date
- May 29, 2014
- Manufacturer
- HL CORP. (SHENZHEN)
- Product Code
- IPS
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER ADVISED CAM LOCK IS BROKEN, NO INJURY, DEALER COULD NOT PROVIDE ANY FURTHER INFORMATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 380529 | CANES | 890.3075 | IPS | HL CORP. (SHENZHEN) | 7827 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |