FDA Adverse Event
Malfunction
Summary report: N
SURE GRIP ORTHO CANE
MDR report key: 7706266
·
Received July 20, 2018
Report
- Report Number
- 1000282279-2018-00001
- Event Type
- Malfunction
- Date Received
- July 20, 2018
- Date of Event
- June 19, 2018
- Report Date
- July 20, 2018
- Manufacturer
- FOSHAN NANHAI R. POON MEDICAL PRODUCTS CO., LTD.
- Product Code
- IPS
- UDI-DI
- 00754756914530
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
END USER WAS WALKING WITH A CANE WHEN THE SHAFT SNAPPED. THERE WAS NO FALL OR INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 549987 | SURE GRIP ORTHO CANE | CANE | IPS | FOSHAN NANHAI R. POON MEDICAL PRODUCTS CO., LTD. | RPM79030-BRZ | 00754756914530 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 40 YR |