MAUDE Adverse Event Report: UNKNOWN HURRYCANE

Model Number 18C2105028796

Device Problem Break (1069)

Patient Problem Fall (1848)

Event Date 05/06/2023

Event Type  Injury  

Event Description

I was using the hurrycane h-cane_bl_c2 that i purchased last year from amazon when the cane's bottom portion (3-point base) broke, causing me to fall.I was unsuccessful in getting a customer representative when i called your website's phone number, (b)(6), within the hours of operation.I emailed (b)(6), and they replied on (b)(6) 2023 that they had forwarded the email to their appropriate team and would contact me asap.As of today, no one from hurrycane has not contacted me.

• Brand Name: HURRYCANE
• Type of Device: CANE
• Manufacturer (Section D): UNKNOWN
• MDR Report Key: 16994771
• MDR Text Key: 315952106
• Report Number: MW5117802
• Device Sequence Number: 1
• Product Code: IPS
• Combination Product (y/n): N
• 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: 05/22/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Device Operator: Lay User/Patient
• Device Model Number: 18C2105028796
• Device Catalogue Number: HCANE_BL_C2
• Was Device Available for Evaluation?: Yes
• Initial Date Manufacturer Received: Not provided
• Initial Date FDA Received: 05/23/2023
• Patient Sequence Number: 1
• Patient Outcome(s): Required Intervention; Other
• Patient Age: 72 YR
• Patient Sex: Female
• Patient Weight: 89 KG
• Patient Ethnicity: Hispanic
• Patient Race: White