BEUDAMED
    FDA Adverse Event Summary report: N

    CANES

    MDR report key: 4110766 · Received September 23, 2014

    Report

    Report Number
    1531186-2014-04368
    Date Received
    September 23, 2014
    Report Date
    September 3, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IPS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATED THAT THE 3920-2 CANE IS CRACKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    590364 CANES 890.3075 IPS UNKNOWN 3920-2

    Patients

    Seq Age Sex Outcome Treatment
    1 Other