MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-05-26 for HURRYCANE HURRYCANE C2 manufactured by Jan Mao Industrial Co., Ltd.
[76127847]
Drive devilbiss healthcare received notice about this claim from the enduser's wife, involving a cane, a product imported and distributed by drive devilbiss healthcare. While using the cane the enduser's foot allegedly got caught on the base of the cane causing him to fall. The wife doesn't believe that the cane was broken. She states that he was already beginning to demise as he is suffering from stage 4 bone cancer. After the fall he was in a lot of pain and he had started hospice care. He eventually passed away 2 weeks later. The cane was later thrown out. This report is based on the information that was provided by the enduser's wife.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2438477-2017-00050 |
| MDR Report Key | 6596152 |
| Date Received | 2017-05-26 |
| Date of Report | 2017-04-26 |
| Date of Event | 2017-04-01 |
| Date Facility Aware | 2017-04-26 |
| Report Date | 2017-05-26 |
| Date Reported to FDA | 2017-05-26 |
| Date Reported to Mfgr | 2017-05-26 |
| Date Added to Maude | 2017-05-26 |
| Event Key | 0 |
| Report Source Code | Distributor report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | PATIENT FAMILY MEMBER OR FRIEND |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | HURRYCANE |
| Generic Name | CANE |
| Product Code | IPS |
| Date Received | 2017-05-26 |
| Model Number | HURRYCANE C2 |
| Operator | LAY USER/PATIENT |
| Device Availability | N |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | JAN MAO INDUSTRIAL CO., LTD |
| Manufacturer Address | PINGGUO COUNTY INDUSTRIAL ZONE BAISE CITY GUANGXI, 531400 CH 531400 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Death | 2017-05-26 |