MAUDE Adverse Event Report: HURRYWORKS LLC HURRYCANE; CANE, SAFETY WALK

Device Problem Material Separation (1562)

Patient Problem Insufficient Information (4580)

Event Date 05/11/2021

Event Type  malfunction  

Event Description

While walking with a hurrycane, the handle separated from the shaft of the cane.Fortunately, i was able to balance myself and not fall.Fda safety report id # (b)(4).

• Brand Name: HURRYCANE
• Type of Device: CANE, SAFETY WALK
• Manufacturer (Section D): HURRYWORKS LLC; p.o box 179 ; simi valley CA 93062
• MDR Report Key: 11831574
• MDR Text Key: 251363367
• Report Number: MW5101371
• Device Sequence Number: 1
• Product Code: KHY
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Patient
• Type of Report: Initial
• Report Date: 05/12/2021

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 05/14/2021
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Lay User/Patient
• Was Device Available for Evaluation?: Yes
• Was Device Evaluated by Manufacturer?: No Information
• Type of Device Usage: N
• Patient Sequence Number: 1
• Patient Age: 68 YR