BEUDAMED
    FDA Adverse Event Other Summary report: N

    PRIDE

    MDR report key: 1242871 · Received November 24, 2008

    Report

    Report Number
    2530130-2008-00033
    Event Type
    Other
    Date Received
    November 24, 2008
    Date of Event
    November 11, 2008
    Report Date
    November 11, 2008
    Manufacturer
    PRIDE MOBILITY PRODUCTS CORP.
    Product Code
    INO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    DEVICE EVALUATION ANTICIPATED, BUT NOT YET BEGUN. THE DEVICE IS BEING RETURNED FOR EVALUATION. A FOLLOW UP REPORT WILL BE SUBMITTED ONCE THE EVALUATION IS COMPLETE.

    Description of Event or Problem · 1

    THE REPORTER ALLEGES THE LIFT CHAIR WAS DELIVERED AND HER SON SET UP THE CHAIR AND PLUGGED IT IN. HER HUSBAND SAT IN THE CHAIR AND RECLINED. HE PRESSED THE CONTROLLER FOR THE MASSAGE WHEN THE REPORTER ALLEGES THEY SMELLED SMOKE AND NOTICED THE UNDERSIDE OF THE CHAIR WAS ON FIRE. THE FIRE WAS EXTINGUISHED. NO INJURY OR PROPERTY DAMAGE WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRIDE LIFT CHAIR INO PRIDE MOBILITY PRODUCTS CORP. GL58KD N/A

    Patients

    Seq Age Sex Outcome Treatment
    1 NI