BEUDAMED
    FDA Adverse Event Summary report: N

    MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT

    MDR report key: 3311092 · Received August 27, 2013

    Report

    Report Number
    1531186-2013-04063
    Date Received
    August 27, 2013
    Report Date
    August 16, 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

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A L-3XB SCOOTER WAS SLUGGISH AND WOULD NOT STOP WHEN THE BRAKES WERE APPLIED. THE UNIT WAS ALSO MAKING A CLICKING NOISE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    418852 MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT 890.3800 INI C.T.M. HOMECARE PRODUCT, INC L-3XB

    Patients

    Seq Age Sex Outcome Treatment
    1 Other