BEUDAMED
    FDA Adverse Event Summary report: N

    MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT

    MDR report key: 3121128 · Received May 20, 2013

    Report

    Report Number
    1531186-2013-02147
    Date Received
    May 20, 2013
    Report Date
    April 24, 2013
    Manufacturer
    CT MEDICAL, INC.
    Product Code
    INI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PER CONSUMER THE SNAPS ON THE SEAT DO NOT HOLD AND THE SEAT IS SLIDING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    221727 MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT 890.3800 INI CT MEDICAL, INC. LEO-4B

    Patients

    Seq Age Sex Outcome Treatment
    1 68 Other