FDA Adverse Event Other Summary report: N

LUGGIE SCOOTER

MDR report key: 3267273 · Received July 26, 2013

Report

Report Number
3003820676-2013-00002
Event Type
Other
Date Received
July 26, 2013
Manufacturer
FREERIDER, CORP.
Product Code
KNL
PMA / PMN Number
K110165
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

THE USER HAS NOT RETURNED THE LUGGIE SCOOTER TO THE DEALER NOR THE IMPORTER FOR FURTHER EVALUATION. WE'RE NOT ABLE TO GET TO KNOW THE SCOOTER'S CONDITION AT THIS STAGE. AFTER RECEIVING THE SCOOTER'S SERIAL NUMBER FROM THE IMPORTER, WE'LL CONDUCT THE RELEVANT TESTS.

Description of Event or Problem · 1

(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
349645 LUGGIE SCOOTER LUGGIE SCOOTER KNL FREERIDER, CORP.

Patients

Seq Age Sex Outcome Treatment
1