BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HURRYCANE

    MDR report key: 4575259 · Received July 28, 2014

    Report

    Report Number
    3009198231-2014-00002
    Event Type
    Injury
    Date Received
    July 28, 2014
    Date of Event
    January 16, 2014
    Report Date
    July 24, 2014
    Manufacturer
    NINGO LIMING METAL PRODUCTS CO.
    Product Code
    KHY
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    MN, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    CUSTOMER REPORTED SHE FELL AND BROKE HER LEG IN 2 PLACES AND ALLEGES THAT THE CANE COLLAPSED WHICH CAUSED HER FALL. IT IS UNK IF THERE WERE ANY WITNESSES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    440543 HURRYCANE WALKING CANE KHY NINGO LIMING METAL PRODUCTS CO. 04297-3-R 1140

    Patients

    Seq Age Sex Outcome Treatment
    1 92 YR Required Intervention