BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PRIDE MOBILITY PRODUCTS

    MDR report key: 23142456 · Received September 25, 2025

    Report

    Report Number
    2530130-2025-00989
    Event Type
    Injury
    Date Received
    September 25, 2025
    Date of Event
    May 20, 2025
    Report Date
    September 25, 2025
    Manufacturer
    PRIDE MOBILITY PRODUCTS CORPORATION
    Product Code
    ITI
    PMA / PMN Number
    K042612
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, 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

    CONSUMER ALLEGES HIS FOOTPLATE ALLEGEDLY GOT LOOSE AND SHIMMIED DOWN. AS HE WAS GOING OUT THE BACK DOOR THE FOOTPLATE GOT CAUGHT AND ALLEGEDLY THREW HIM AND HIS UNIT DOWN TO THE BOTTOM OF THE RAMP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1850483 PRIDE MOBILITY PRODUCTS WHEELCHAIR, POWERED ITI PRIDE MOBILITY PRODUCTS CORPORATION J4 N/A

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Male Other