BEUDAMED
    FDA Adverse Event Summary report: N

    MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT

    MDR report key: 3092853 · Received May 3, 2013

    Report

    Report Number
    1531186-2013-01901
    Date Received
    May 3, 2013
    Report Date
    April 9, 2013
    Manufacturer
    C.T.M. HOMECARE PRODUCT, INC
    Product Code
    INI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AK, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    (B)(6) ALLEGED THAT THE SCOOTER IS NOT WORKING. HE STATED THAT YOU CAN MOVE A COUPLE OF FEET AND THE BATTERY IS DOWN ON RED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    194223 MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT 890.3800 INI C.T.M. HOMECARE PRODUCT, INC LYNX LX-3

    Patients

    Seq Age Sex Outcome Treatment
    1 Other