HURRYCANE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-05-04 for HURRYCANE manufactured by Jan Mao Industrial Co., Ltd.

Event Text Entries

[74445850] Drive is the initial importer of the device. End-user claims that the cane does not stand on its own as advertised and she has fallen 3 times when trying to pick the device up off the floor. End-user has allegedly injured her right shoulder during one of these incidents and was allegedly told by an orthopedist that she "re-tore her rotator cuff". However, none of the allegations have been confirmed by medical scan. We are awaiting further information from end-user after unrelated heart surgery is to be completed.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2438477-2017-00038
MDR Report Key6545799
Date Received2017-05-04
Date of Report2017-04-03
Date of Event2017-03-30
Date Facility Aware2017-04-03
Report Date2017-04-27
Date Reported to Mfgr2017-04-27
Date Added to Maude2017-05-04
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHURRYCANE
Generic NameCANE
Product CodeIPS
Date Received2017-05-04
Model NumberHURRYCANE
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerJAN MAO INDUSTRIAL CO., LTD
Manufacturer AddressPINGGUO COUNTY INDUSTRIAL ZONE BAISE CITY GUANGXI,, CHINA 531400 CH 531400


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-05-04

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