BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HUGO

    MDR report key: 6383720 · Received March 7, 2017

    Report

    Report Number
    8022077-2017-00047
    Event Type
    Injury
    Date Received
    March 7, 2017
    Date of Event
    June 1, 2016
    Report Date
    March 7, 2017
    Manufacturer
    AMG MEDICAL INC.
    Product Code
    KHY
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Additional Manufacturer Narrative · 1

    AS THE HUGO BRAND IS NOW OWNED BY DRIVE MEDICAL, THEY WERE THE ONES THAT WERE MADE AWARE OF THE INCIDENT. THEY RECEIVED A LAWYER'S LETTER AND FORWARDED IT TO A.M.G. MEDICAL INC. ON MARCH 3, 2017. LITTLE INFORMATION ON THE PREVIOUS HEALTH AND CONDITION OF THE CUSTOMER IS MENTIONED. THE LOCATION OF THE INCIDENT IS UNKNOWN. OUR INSURANCE COMPANY WILL BE IN CONTACT WITH THE PATIENT'S LAWYER SO THAT THE MISSING INFORMATION CAN BE OBTAINED.

    Description of Event or Problem · 1

    CUSTOMER WAS USING HUGO QUADPOD CANE WHEN THE HANDLE SUDDENLY SLIPPED, CAUSING HIM TO FALL AND SUFFER INJURIES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    165697 HUGO HUGO QUADPOD KHY AMG MEDICAL INC. 781-030

    Patients

    Seq Age Sex Outcome Treatment
    1