BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ENDURANCE PYRAMID CANE

    MDR report key: 4827653 · Received June 5, 2015

    Report

    Report Number
    1056127-2015-00013
    Event Type
    Malfunction
    Date Received
    June 5, 2015
    Date of Event
    May 12, 2015
    Report Date
    May 18, 2015
    Manufacturer
    FOSHAN R. POON MEDICAL PRODUCTS CO., LTD
    Product Code
    KHY
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    SC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DEALER REPORTED TO SALES REP THAT A PYRAMID CANE HAD BEEN RETURNED WITH A BROKEN LEG. THE USER DID NOT REPORT AN INJURY OR FALL. THE CONTACT INFORMATION FOR THE USER WAS OBSOLETE AND NO OTHER CONTACT INFORMATION WAS FOUND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    366242 ENDURANCE PYRAMID CANE PYRAMID CANE KHY FOSHAN R. POON MEDICAL PRODUCTS CO., LTD RPM70020

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK