BEUDAMED
    FDA Adverse Event Summary report: N

    SCOOTER

    MDR report key: 7295990 · Received February 23, 2018

    Report

    Report Number
    MW5075523
    Date Received
    February 23, 2018
    Date of Event
    February 22, 2018
    Report Date
    February 23, 2018
    Manufacturer
    UNK
    Product Code
    KNL
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    REPORTER STATES THAT SHE WAS DELIVERED A SCOOTER AT HER HOME YESTERDAY (B)(6) 2018 AND IT IS NOT WORKING. ACCORDING TO REPORTER, THE SCOOTER WOULD NOT CHARGE DESPITE THE FACT THAT IT WAS PLUGGED ALL NIGHT. SHE ALSO MENTIONED THAT THE SCOOTER WAS EMITTING A VERY STRONG SMELL THAT WAS DISTURBING TO HER. REPORTER IS REQUESTING FOR A NEW SCOOTER AS SOON AS POSSIBLE .REPORTER WAS ABLE TO PROVIDE THE NAME OF THE DISTRIBUTOR (B)(4) BUT DID NOT HAVE THE NAME OF THE MANUFACTURER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    137386 SCOOTER SCOOTER KNL UNK 86498

    Patients

    Seq Age Sex Outcome Treatment
    1