BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LYNX L-3X COMPACT SCOOTER - BLUE 9153645573

    MDR report key: 4348574 · Received December 19, 2014

    Report

    Report Number
    1531186-2014-06580
    Event Type
    Malfunction
    Date Received
    December 19, 2014
    Report Date
    November 6, 2014
    Manufacturer
    C.T.M. SHANGHAI
    Product Code
    INI
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    IT HAS BEEN REPORTED BY A DEALER THAT THE ARMREST ON A L-3XB SCOOTER IS BROKEN AND BEING HELD TOGETHER BY RUBBER BANDS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    836360 LYNX L-3X COMPACT SCOOTER - BLUE 9153645573 VEHICLE, MOTORIZED 3-WHEELED INI C.T.M. SHANGHAI L-3XB

    Patients

    Seq Age Sex Outcome Treatment
    1 Other