QUAD POD BY HUGO

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-08-23 for QUAD POD BY HUGO manufactured by Amg Medical.

Event Text Entries

[53320485] Cane tip sold as quad pod totally failed. Wife requires 2 canes for mobility. First failure was replaced by company. Now a second one has failed. This can cause the user loss of support, stability resulting in a fall. Cane tip sold as quad pod. Retailer: (b)(6). Purchase date: (b)(6) 2016. I still have the product in my possession: no. The product was damaged before the incident: no. The product was modified before the incident: no. Have you contacted the manufacturer: yes. Explanation: they replaced, now a second one has failed. I have photos on ipad does not support flash as you require. Document number: (b)(4). Report number: (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5064335
MDR Report Key5903665
Date Received2016-08-23
Date of Event2016-07-29
Date Added to Maude2016-08-25
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameQUAD POD BY HUGO
Generic NameQUAD POD BY HUGO
Product CodeIPS
Date Received2016-08-23
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerAMG MEDICAL
Manufacturer Address8505 DALTON MONTREAL, QUEBEC H4T 1V5 CA H4T 1V5


Patients

Patient NumberTreatmentOutcomeDate
10 2016-08-23

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