FDA Adverse Event
Other
Summary report: N
PRIDE
MDR report key: 1622474
·
Received February 18, 2010
Report
- Report Number
- 2530130-2010-00014
- Event Type
- Other
- Date Received
- February 18, 2010
- Date of Event
- December 1, 2009
- Report Date
- February 17, 2010
- Manufacturer
- PRIDE MOBILITY PRODUCTS CORPORATION
- Product Code
- ITI
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
NOT A DEVICE PROBLEM. USER ERROR.
Description of Event or Problem · 1
THE CUSTOMER ALLEGES SHE HAD A DIFFICULT TIME OPERATING THE JOYSTICK AND GOT TOO CLOSE TO A WALL. IT WAS REPORTED BY THE PROVIDER AS USER ERROR AND NOT A PRODUCT PROBLEM. THE CUSTOMER SUSTAINED A BROKEN FINGER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PRIDE | POWERCHAIR | ITI | PRIDE MOBILITY PRODUCTS CORPORATION | JAZZY SELECT 6 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 97 YR | Required Intervention |