BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GOLDEN POWER LIFT AND RECLINE CHAIR

    MDR report key: 12365328 · Received August 24, 2021

    Report

    Report Number
    MW5103478
    Event Type
    Injury
    Date Received
    August 24, 2021
    Date of Event
    June 1, 2021
    Report Date
    August 21, 2021
    Manufacturer
    GOLDEN TECHNOLOGIES, INC
    Product Code
    INO
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PIECES OF ANGLE IRON POPPED THROUGH COVERING ON MY LIFT CHAIR. THAT MADE CONTACT PRESSURE ON MY SHOULDER AND BACK. CAUSING EXCRUCIATING PAIN AND NUMBNESS. EVERYTIME THE SELLER TRIES TO FIX THE SAME PROBLEM WITH FOAM PADDING AND NOODLE LOOKING FOAM. THE PROBLEM IS A FRAME NOT PADDING. I'VE REQUESTED MY MONEY TO BE REFUNDED, ONLY TO BE IGNORED. THIS PROBLEM BEGAN WITHIN TWO WEEKS OF PURCHASE DATE OF (B)(6) 2021. AT THIS POINT I'M SLEEPING ON THE COUCH AGAIN, WHEN I SPECIFICALLY BOUGHT THIS CHAIR TO SLEEP IN, TO ASSIST WITH MY COPD AND ACID REFLUX. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1260449 GOLDEN POWER LIFT AND RECLINE CHAIR CHAIR, POSITIONING, ELECTRIC INO GOLDEN TECHNOLOGIES, INC PR761 MLA STD JBO.

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Disability