BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PRIDE MOBILITY PRODUCTS

    MDR report key: 17097175 · Received June 9, 2023

    Report

    Report Number
    2530130-2023-00063
    Event Type
    Injury
    Date Received
    June 9, 2023
    Report Date
    June 9, 2023
    Manufacturer
    PRIDE MOBILITY PRODUCTS
    Product Code
    ITI
    UDI-DI
    00606509200158
    PMA / PMN Number
    K143383
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    003

    Narratives

    Additional Manufacturer Narrative · 0

    THE DEVICE HAS NOT YET BEEN MADE AVAILABLE FOR EVALUATION. SHOULD FURTHER INFORMATION OR THE DEVICE BECOME AVAILABLE, A FOLLOW-UP REPORT WILL THEN BE ISSUED.

    Description of Event or Problem · 0

    DEALER ALLEGES CONSUMER ALLEGES THEY WERE IN FRONT OF A BBQ GRILL WHEN CHAIR ALLEGEDLY MOVED FORWARD ON ITS OWN CAUSING END USER TO CUT OPEN HIS TOE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2228336 PRIDE MOBILITY PRODUCTS WHEELCHAIR, POWERED ITI PRIDE MOBILITY PRODUCTS Q6 EDGE 3 N/A 00606509200158

    Patients

    Seq Age Sex Outcome Treatment
    1 Male Other