BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT

    MDR report key: 4152721 · Received October 8, 2014

    Report

    Report Number
    1219590-2014-00161
    Event Type
    Malfunction
    Date Received
    October 8, 2014
    Report Date
    September 22, 2014
    Manufacturer
    INVACARE CLEVELAND STREET
    Product Code
    INI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES SCOOTER SURGES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    631152 MOTORIZED 3-WHEELED VEHICLE FOR OUTSIDE TRANSPORT 890.3800 INI INVACARE CLEVELAND STREET HMV2RD

    Patients

    Seq Age Sex Outcome Treatment
    1 Other