BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RASCAL

    MDR report key: 517475 · Received March 23, 2004

    Report

    Report Number
    2246975-2004-00016
    Event Type
    Injury
    Date Received
    March 23, 2004
    Date of Event
    September 28, 2003
    Report Date
    February 25, 2004
    Manufacturer
    ELECTRIC MOBILITY CORP.
    Product Code
    INI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    INJURED WAS STRUCK BY UNIT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RASCAL * INI ELECTRIC MOBILITY CORP. 205 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention