inforMED
MalfunctionIPS

UNABLE TO VERIFY

Received Dec 17, 2013 · Event occurred Nov 15, 2013

Report 1056127-2013-00019 · MDR key 3542006

Device

Generic name

Seat Cane

Manufacturer

Homecar Co. Ltd

Model number

6053

Catalog number

W1450

Product problems

  • Component(s), broken

Patient

70 YR

  • Fall
  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

DEALER REPORTS THAT AN UNKNOWN USER RETURNED A FOLDING SEAT CANE WITH THE CENTER LEG TUBING BROKEN AT THE THROUGH BOLT HOLE. THE SERIAL NUMBER AS REPORTED IS NOT CONSISTENT WITH THE NUMBER MASK USED ON OUR DEVICES, HOWEVER DEALER MAINTAINS THAT IT HAS ESSENTIAL LABEL ON IT. THE DEALER HAS BEEN TARDY IN RETURNING THE UNIT SO WE CANNOT VERIFY ADDITIONAL DETAILS.