BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SCOOTER - SIDEKICK

    MDR report key: 195684 · Received October 30, 1998

    Report

    Report Number
    2530130-1998-00002
    Event Type
    Malfunction
    Date Received
    October 30, 1998
    Date of Event
    December 16, 1996
    Report Date
    October 9, 1998
    Manufacturer
    PRIDE HEALTH CARE INC
    Product Code
    INI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE OWNER STATED UNIT WAS JERKY, ERRATIC OPERATION RESULTING IN HER BEING THROWN OFF THE UNIT AND SUSTAINING BACK INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SCOOTER - SIDEKICK 3-WHEEL INI PRIDE HEALTH CARE INC UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Other