FDA Adverse Event Summary report: N

MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT

MDR report key: 4151273 · Received October 8, 2014

Report

Report Number
1531186-2014-04782
Date Received
October 8, 2014
Date of Event
September 8, 2014
Report Date
September 19, 2014
Manufacturer
C.T.M. SHANGHAI
Product Code
INI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

PER ENDUSER BATTERIES ARE NOT HOLDING A CHARGE, ENDUSER ADVISED WAS STRANDED , NO INJURY, ENDUSER COULD NOT PROVIDE ANY FURTHER INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
633103 MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT 890.3800 INI C.T.M. SHANGHAI L-3B

Patients

Seq Age Sex Outcome Treatment
1 Other