BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RASCAL

    MDR report key: 381049 · Received March 8, 2002

    Report

    Report Number
    2246975-2002-00004
    Event Type
    Injury
    Date Received
    March 8, 2002
    Date of Event
    January 21, 2002
    Report Date
    February 12, 2002
    Manufacturer
    ELECTRIC MOBILITY CORP.
    Product Code
    ITI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    CUSTOMER CLAIMS THAT WHILE TRAVELING DOWN AN INCLINE, THE UNIT STOPPED, CAUSING CUSTOMER TO FALL OUT OF UNIT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RASCAL VEHICLE, 4-WHEEL MOTORIZED ITI ELECTRIC MOBILITY CORP. 255 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Hospitalization| R