FDA Adverse Event
Other
Summary report: N
PRIDE
MDR report key: 1304785
·
Received February 3, 2009
Report
- Report Number
- 2530130-2009-00006
- Event Type
- Other
- Date Received
- February 3, 2009
- Date of Event
- January 23, 2009
- Report Date
- February 3, 2009
- Manufacturer
- PRIDE MOBILITY PRODUCTS CORPORATION
- Product Code
- ITI
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CT, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE IS BEING RETURNED FOR EVALUATION. CONCLUSION: A FOLLOW-UP REPORT WILL BE SUBMITTED ONCE THE EVALUATION IS COMPLETE.
Description of Event or Problem · 1
THE END USER ALLEGES HIS POWERCHAIR BEGAN TO SMOKE AT THE REAR OF THE UNIT. THE FIRE DEPARTMENT WAS CALLED BECAUSE OF THE SMOKE. NO INJURY REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PRIDE | POWERCHAIR | ITI | PRIDE MOBILITY PRODUCTS CORPORATION | JAZZY600 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NI | Life Threatening |