BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PRIDE JAZZY

    MDR report key: 265085 · Received February 25, 2000

    Report

    Report Number
    2530130-2000-00001
    Event Type
    Injury
    Date Received
    February 25, 2000
    Date of Event
    March 5, 1999
    Report Date
    February 25, 2000
    Manufacturer
    PRIDE HEALTH CARE, INC.
    Product Code
    ITI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    A DEALER REMOVED THE TIRE FROM THE DEVICE AND GAVE IT TO A SERVICE ATTENDANT AT A GAS STATION FOR INFLATION. THE SERVICE ATTENDANT USED A HIGH PRESSURE HOSE, WHICH OVERLY INFLATED THE TIRE, EXCEEDING PRIDE'S RECOMMENDED PRESSURE OF 30-35 PSI AS STATED IN THE OWNER'S MANUAL. THE TIRE EXPLODED, RESULTING IN LOSS OF SIGHT IN THE RIGHT EYE FOR THE SERVICE ATTENDANT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRIDE JAZZY POWER WHEELCHAIR ITI PRIDE HEALTH CARE, INC. 1120 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Hospitalization| O