FDA Adverse Event
Malfunction
Summary report: N
MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT
MDR report key: 3000600
·
Received March 12, 2013
Report
- Report Number
- 1525712-2013-01901
- Event Type
- Malfunction
- Date Received
- March 12, 2013
- Report Date
- February 15, 2013
- Manufacturer
- INVACARE
- Product Code
- INI
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER ALLEGES THE CONSUMER HIT THE CURB WITH HIS POWER RIGGINGS AND BENT EVERYTHING
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 102910 | MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT | 890.3800 | INI | INVACARE | TDXSP-MCG |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |