BEUDAMED
    FDA Adverse Event Summary report: N

    CANES

    MDR report key: 3961023 · Received July 28, 2014

    Report

    Report Number
    1531186-2014-02794
    Date Received
    July 28, 2014
    Report Date
    June 19, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IPS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CUSTOMER WROTE A LETTER AND ALLEGING THE CAMLOCK HAS BROKEN, AND THE TIP HAS WORN ON (B)(4) CANE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    439436 CANES 890.3075 IPS UNKNOWN 8917

    Patients

    Seq Age Sex Outcome Treatment
    1 Other