BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RASCAL

    MDR report key: 536924 · Received March 23, 2004

    Report

    Report Number
    2246975-2004-00014
    Event Type
    Malfunction
    Date Received
    March 23, 2004
    Date of Event
    February 25, 2004
    Report Date
    February 25, 2004
    Manufacturer
    ELECTRIC MOBILITY CORP.
    Product Code
    INI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, 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. 200 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN