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