MalfunctionIPS
DESIGNER QUAD CANE
Received Jan 31, 2019 · Event occurred Jan 14, 2019
Report 1056127-2019-00001 · MDR key 8292749
Device
Generic name
Quad Cane
Manufacturer
Homecare Enterprise Co. Ltd.Model number
C-604S-CD04Catalog number
W1303I
Lot number
N/A
Product problems
- Fracture
- Fracture
Patient
65 YR
- Fall
- Fall
Narrative
Description of Event or Problem
PER DEALER, END USER WAS USING CANE NORMALLY WHEN SHAFT BROKE AND END USER FELL. NO INJURIES WERE REPORTED. DEALER REFUSED TO GIVE INFORMATION ON END USER. DATA FOR EU IS APPROXIMATE.