FDA Adverse Event Summary report: N

MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT

MDR report key: 3250509 · Received July 26, 2013

Report

Report Number
1531186-2013-03410
Date Received
July 26, 2013
Report Date
July 10, 2013
Manufacturer
C.T.M. HOMECARE PRODUCT, INC
Product Code
INI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

(B)(4). MFR. REPORT # 1531186-2013-03410 INDICTING CT MEDICAL, INC AS THE MANUFACTURER. THE CORRECT MANUFACTURER IS C.T.M. HOMECARE PRODUCTS.

Description of Event or Problem · 1

IT WAS REPORTED THAT A L-3B SCOOTER WOULD NOT TURN OFF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
349642 MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT 890.3800 INI C.T.M. HOMECARE PRODUCT, INC L-3B

Patients

Seq Age Sex Outcome Treatment
1 Other