FDA Adverse Event
Summary report: N
CANES
MDR report key: 3965175
·
Received July 29, 2014
Report
- Report Number
- 1531186-2014-02859
- Date Received
- July 29, 2014
- Report Date
- June 23, 2014
- Manufacturer
- PINGHU WEIFENG MATERIAL TECHNOLOGY
- Product Code
- IPS
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
BASE IS BROKEN FROM THE BASE PER DEALER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 441020 | CANES | 890.3075 | IPS | PINGHU WEIFENG MATERIAL TECHNOLOGY | 7827 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |