BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LYNX L-3X COMPACT SCOOTER - BLUE 9153645573

    MDR report key: 4400913 · Received January 8, 2015

    Report

    Report Number
    1531186-2015-00122
    Event Type
    Malfunction
    Date Received
    January 8, 2015
    Report Date
    November 17, 2014
    Manufacturer
    C.T.M. SHANGHAI
    Product Code
    INI
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    OR, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    IT HAS BEEN REPORTED BY A DEALER THAT A THROTTLE POT ON A L-3XB SCOOTER DID NOT WORK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    19135 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