MalfunctionIPS
ESSENTIAL LARGE BASE QUAD CANE
Received Aug 13, 2015 · Event occurred Jul 28, 2015
Report 1056127-2015-00022 · MDR key 5008575
Device
Generic name
Quad Cane
Manufacturer
Com-bridge International Co., Ltd.Model number
ST802-BLCatalog number
W1302BL
Product problems
- Fracture
Patient
UNK
- No Consequences Or Impact To Patient
Narrative
Description of Event or Problem
THE HOME MEDICAL EQUIPMENT PROVIDER STATES THAT HE HAS NO PERSONAL INFORMATION ON THE USER FOR THIS CASH SALE QUAD CANE WHICH WAS RETURNED WITH A BROKEN SHAFT. NO INJURY WAS REPORTED AND PROVIDER IS IN PROCESS OF RETURNING UNIT FOR EVALUATION.