BEUDAMED
    FDA Adverse Event Other Summary report: N

    SHUTTLE

    MDR report key: 195272 · Received October 30, 1998

    Report

    Report Number
    2530130-1998-00001
    Event Type
    Other
    Date Received
    October 30, 1998
    Date of Event
    November 25, 1997
    Report Date
    October 9, 1998
    Manufacturer
    PRIDE HEALTH CARE, INC.
    Product Code
    INI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SCOOTER CAUGHT FIRE IN TRUNK OF CAR. METAL BASKET TOUCHED BATTERY TERMINALS AND SCOOTER SEAT IGNITED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SHUTTLE SCOOTER (ELE.) INI PRIDE HEALTH CARE, INC. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Life Threatening