BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GOLDEN LIFT CHAIR

    MDR report key: 3109094 · Received May 6, 2013

    Report

    Report Number
    2523955-2013-00001
    Event Type
    Injury
    Date Received
    May 6, 2013
    Date of Event
    April 12, 2013
    Report Date
    April 15, 2013
    Manufacturer
    GOLDEN TECHNOLOGIES, INC.
    Product Code
    INO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    DEVICE WAS EVALUATED BY THE (B)(4) DEALER AND NO DEFECTS WERE FOUND. THE LIFT CHAIR OPERATED AS SPECIFIED. CHAIR TO BE RETURNED TO GOLDEN FOR FURTHER EVALUATION.

    Description of Event or Problem · 1

    PATIENTS WIFE CLAIMS THAT WHILE END USER WAS CLOSING THE CHAIRS FOOTREST, HIS LEFT LEG WAS ON THE SIDE OF THE CHAIR UP AGAINST THE SCISSORS MECHANISM AND HE CUT HIS LEG. WIFE SAYS THAT THE LIFT BUTTON STUCK. PATIENT CUT WAS STITCHED UP AND HE WAS PLACED IN REHAB.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    197459 GOLDEN LIFT CHAIR LIFT CHAIR INO GOLDEN TECHNOLOGIES, INC. PR-200 MEDIUM

    Patients

    Seq Age Sex Outcome Treatment
    1 NI Required Intervention