BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RASCAL

    MDR report key: 495145 · Received November 10, 2003

    Report

    Report Number
    2246975-2003-00100
    Event Type
    Malfunction
    Date Received
    November 10, 2003
    Date of Event
    October 11, 2003
    Report Date
    October 13, 2003
    Manufacturer
    ELECTRIC MOBILITY CORP.
    Product Code
    INI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    WHEEL HUB CRACKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RASCAL VEHICLE, 3-WHEEL MOTORIZED INI ELECTRIC MOBILITY CORP. 245 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR