FDA Adverse Event Death Summary report: N

GOLDEN COMPANION

MDR report key: 327207 · Received April 6, 2001

Report

Report Number
2523955-2001-00002
Event Type
Death
Date Received
April 6, 2001
Date of Event
October 20, 2000
Report Date
March 30, 2001
Manufacturer
GOLDEN TECHNOLOGIES, INC.
Product Code
INI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
ATTORNEY

Narratives

Description of Event or Problem · 1

THE ESTATE OF PT IS IN CLAIM THAT A GOLDEN COMPANION RESULTED IN THEIR DEATH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
15573 GOLDEN COMPANION BATTERY POWERED SCOOTER INI GOLDEN TECHNOLOGIES, INC. NI NI

Patients

Seq Age Sex Outcome Treatment
1 66 YR Death