BEUDAMED
    FDA Adverse Event Summary report: N

    MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT

    MDR report key: 3955508 · Received July 24, 2014

    Report

    Report Number
    1531186-2014-02738
    Date Received
    July 24, 2014
    Report Date
    June 11, 2014
    Manufacturer
    C.T.M. SHANGHAI
    Product Code
    INI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES THE TRANSAXLE IS LEAKING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    435049 MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT 890.3800 INI C.T.M. SHANGHAI L-3B

    Patients

    Seq Age Sex Outcome Treatment
    1 Other