BEUDAMED
    FDA Adverse Event Summary report: N

    MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT

    MDR report key: 3062097 · Received April 16, 2013

    Report

    Report Number
    1531186-2013-01586
    Date Received
    April 16, 2013
    Report Date
    March 20, 2013
    Manufacturer
    C.T.M. HOMECARE PRODUCT, INC
    Product Code
    INI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDE STATES HAS NOT SEEN SCOOTER YET. PROVIDER STATES THE USER SAYS THE RIGHT ARMREST IS BENT, AND WANTS ONE UNDER WARRANTY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    162117 MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT 890.3800 INI C.T.M. HOMECARE PRODUCT, INC LEO-3B

    Patients

    Seq Age Sex Outcome Treatment
    1 Other