BEUDAMED
    FDA Adverse Event Other Summary report: N

    PRIDE GO GO ES 3-WHEEL MOBILITY SCOOTER

    MDR report key: 3354719 · Received September 12, 2013

    Report

    Report Number
    MW5031822
    Event Type
    Other
    Date Received
    September 12, 2013
    Report Date
    August 12, 2013
    Manufacturer
    PRIDE MOBILITY
    Product Code
    INI
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I'M A (B)(6) MAN AND CAN'T WALK AT ALL. I GOT A GO GO SCOOTER BACK IN (B)(6), SO FAR I HAVE TURNED OVER 5 TIMES AND 1 TIME I TORE A ROTA CUFF AND CAN'T HAVE IT REPAIRED EVER DO TO MEDICAL CONDITIONS TO HIGH A RISK FOR ME. SO I NOW SUFFER MUCH PAIN DAILY 24/7. I OWN A PRIDE GO GO 4 WHEELER AND THAT'S DON'T TIP OVER. I KEEP THAT ONE IN MY VAN. (B)(6) SHOULD NOT PAY FOR THESE PRIDE GO/GO 3 WHEELERS. NOTICE TOP PICTURE HAS NO STABILIZERS LIKE THE ONE IN THE BOTTOM PICTURE HAS. I TALKED TO SEVERAL PEOPLE WHOM I'VE SEEN ON ABOVE PICTURE GO/GO IN PRIDE AND ALL SAID THEY TOO HAVE TIPPED OVER AND GOT HURT. YOU NEED TO DO SOMETHING TO CORRECT THIS PROBLEM. CONTINUED DOCTORS CARE. WEEKLY AND PAIN MEDICINE IS NEEDED DAILY. DOCUMENT NUMBER: (B)(4). REPORT NUMBER: (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    458948 PRIDE GO GO ES 3-WHEEL MOBILITY SCOOTER MOTORIZED VEHICLES, NEC (3 OR MORE WHEELS) INI PRIDE MOBILITY GO GO ES

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR