BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GOLDEN PR515 MLA MAXICOMFORT CLOUD WITH TWILIGHT ZERO GRAVITY LIFT CHAIR

    MDR report key: 14855700 · Received June 28, 2022

    Report

    Report Number
    MW5110596
    Event Type
    Injury
    Date Received
    June 28, 2022
    Date of Event
    May 3, 2022
    Report Date
    June 27, 2022
    Manufacturer
    GOLDEN TECHNOLOGIES, INC.
    Product Code
    INO
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    UNKNOWN
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    END USER WAS IN THE RECLINED POSITION, SHE TRIED TO HAVE THE CHAIR LIFT HER UP, BUT IT WOULD NOT MOVE AND HER SHOULDERS BACK NERVES PINCHED SO SEVERELY SHE HAD TO CALL 911, AND WAS TAKEN TO THE HOSPITAL BECAUSE SHE COULD NOT MOVE. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1135327 GOLDEN PR515 MLA MAXICOMFORT CLOUD WITH TWILIGHT ZERO GRAVITY LIFT CHAIR CHAIR, POSITIONING, ELECTRIC INO GOLDEN TECHNOLOGIES, INC. PR515-SME-STD-D10

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Hospitalization