BEUDAMED
    FDA Adverse Event Summary report: N

    MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT

    MDR report key: 3884548 · Received June 19, 2014

    Report

    Report Number
    1531186-2014-02189
    Date Received
    June 19, 2014
    Date of Event
    April 23, 2014
    Report Date
    May 21, 2014
    Manufacturer
    C.T.M. SHANGHAI
    Product Code
    INI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE MOTOR AND BRAKE ON THE L-4B SCOOTER ARE RUNNING A LITTLE WARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    361408 MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT 890.3800 INI C.T.M. SHANGHAI L-4B

    Patients

    Seq Age Sex Outcome Treatment
    1 Other