BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GOLDEN POWER LIFT CHAIR

    MDR report key: 327217 · Received April 5, 2001

    Report

    Report Number
    2523955-2001-00001
    Event Type
    Injury
    Date Received
    April 5, 2001
    Date of Event
    March 5, 2001
    Report Date
    March 30, 2001
    Manufacturer
    GOLDEN TECHNOLOGIES, INC.
    Product Code
    INO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT HAS BEEN REPORTED TO CO THAT PT WAS SITTING IN THE LIFT CHAIR WHICH WAS IN THE "SEATED" POSITION. PT ATTEMPTED TO OPERATE THE CHAIR TO THE "LIFT" POSITION. APPROXIMATELY 1/2 UP TO THE FULL LIFT POSITION, PT HEARD A LOUD NOISE. WHILE ATTEMPTING TO GET OUT OF THE CHAIR, THE CHAIR SUDDENTLY RETURNED TO THE "SEATED" POSITION, AT WHICH TIME PT REPORTEDLY FELL AND BROKE THEIR HIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    15052 GOLDEN POWER LIFT CHAIR LIFT CHAIR INO GOLDEN TECHNOLOGIES, INC. PR-501M STW NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Hospitalization| R