FDA Adverse Event
Injury
Summary report: N
PRIDE MOBILITY PRODUCTS
MDR report key: 3241004
·
Received July 22, 2013
Report
- Report Number
- 2530130-2013-00053
- Event Type
- Injury
- Date Received
- July 22, 2013
- Date of Event
- July 12, 2013
- Report Date
- May 12, 2014
- Manufacturer
- PRIDE MOBILITY PRODUCTS
- Product Code
- INO
- PMA / PMN Number
- K070950
- Removal / Correction Number
- N/A
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE ALLEGED EVENT COULD NOT BE DUPLICATED THROUGH LOADED CYCLICAL TESTING.
Additional Manufacturer Narrative · 1
THE DEVICE IS NOT AVAILABLE FOR EVALUATION AT THIS TIME. SHOULD FURTHER INFORMATION OR THE DEVICE BECOME AVAILABLE, A FOLLOW-UP REPORT WILL THEN BE ISSUED.
Description of Event or Problem · 1
CUSTOMER WAS IN HER LIFT CHAIR RECLINING WHEN CHAIR BECAME STUCK. CUSTOMER TRIED TO GET OUT OF LIFT CHAIR WHEN SHE FELL OUT ON LEFT SIDE.
Description of Event or Problem · 1
CUSTOMER WAS IN HER LIFT CHAIR RECLINING WHEN CHAIR BECAME STUCK. CUSTOMER TRIED TO GET OUT OF LIFT CHAIR WHEN SHE FELL OUT ON LEFT SIDE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 340635 | PRIDE MOBILITY PRODUCTS | ELECTRIC POSITIONING CHAIR | INO | PRIDE MOBILITY PRODUCTS | LC200 | N/A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization |