BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GOLDEN POWERED LIFT CHAIR

    MDR report key: 221879 · Received May 7, 1999

    Report

    Report Number
    MW1016252
    Event Type
    Malfunction
    Date Received
    May 7, 1999
    Date of Event
    May 1, 1999
    Report Date
    May 7, 1999
    Manufacturer
    GOLDEN TECHNOLOGIES, INC.
    Product Code
    INN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    DE, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CALLER WANTED TO CORRECT THE REPORT BY STATING THAT IT WAS ACTUALLY THE LOCAL SVC REP AND NOT GOLDEN TECHNOLOGIES THAT HELD UP THE REPAIR. THE RETRO-FIT WAS COMPLETED ON 6/28/99.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GOLDEN POWERED LIFT CHAIR ELECTRICAL CHAIR LIFT INN GOLDEN TECHNOLOGIES, INC. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Other