BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PRIDE MOBILITY PRODUCTS

    MDR report key: 3940231 · Received July 17, 2014

    Report

    Report Number
    2530130-2014-00056
    Event Type
    Injury
    Date Received
    July 17, 2014
    Report Date
    January 26, 2015
    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
    NY, US
    Reporter Occupation
    PATIENT

    Narratives

    Additional Manufacturer Narrative · 1

    THE DATE OF INCIDENT HAS NOT BEEN PROVIDED AND THE DEVICE HAS NOT BEEN MADE AVAILABLE FOR EVALUATION AT THIS TIME. SHOULD FURTHER INFORMATION OR THE DEVICE BECOME AVAILABLE, A FOLLOW-UP REPORT WILL THEN BE ISSUED.

    Additional Manufacturer Narrative · 1

    THE ALLEGED EVENT COULD NOT BE DUPLICATED.

    Description of Event or Problem · 1

    CONSUMER ALLEGES THE BACK DOES NOT LOCK PROPERLY AND HAS FALLEN OUT SEVERAL TIMES BACKWARDS.

    Description of Event or Problem · 1

    CONSUMER ALLEGES THE BACK DOES NOT LOCK PROPERLY AND HAS FALLEN OUT SEVERAL TIMES BACKWARDS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    418685 PRIDE MOBILITY PRODUCTS ELECTRIC POSITIONING CHAIR INO PRIDE MOBILITY PRODUCTS GL358PWKD N/A

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Hospitalization