BEUDAMED
    FDA Adverse Event Summary report: N

    MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT

    MDR report key: 2996078 · Received March 10, 2013

    Report

    Report Number
    1531186-2013-00956
    Date Received
    March 10, 2013
    Report Date
    February 12, 2013
    Manufacturer
    CT MEDICAL, INC.
    Product Code
    INI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE GUIDE BRACKET IS BROKEN CAUSING THE CHAIR TO SPIN AROUND AND COULD CAUSE THE USER TO FALL OFF THE SCOOTER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    100904 MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT 890.3800 INI CT MEDICAL, INC. L-4B

    Patients

    Seq Age Sex Outcome Treatment
    1 Other