FDA Adverse Event
Summary report: N
CANES
MDR report key: 3955091
·
Received July 24, 2014
Report
- Report Number
- 1531186-2014-02759
- Date Received
- July 24, 2014
- Date of Event
- June 10, 2014
- Report Date
- June 18, 2014
- Manufacturer
- HL CORP. (SHENZHEN)
- Product Code
- IPS
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
PER DEALER, STATED CANE SNAPPED IN HALF WHILE PATIENT WAS AT DR. APPOINTMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 434375 | CANES | 890.3075 | IPS | HL CORP. (SHENZHEN) | 7827 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |