BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEGA-MOTION PRODUCTS FOR BETTER LIVING

    MDR report key: 4565412 · Received February 5, 2015

    Report

    Report Number
    MW5041036
    Event Type
    Other
    Date Received
    February 5, 2015
    Date of Event
    February 5, 2015
    Report Date
    February 5, 2015
    Manufacturer
    MEGA-MOTION, INC.
    Product Code
    INO
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    DEVICE INCLUDES MOTORS FOR LIFTING CHAIR AND CHANGING BACK RECLINE ANGLE; SEAT AND BACK HEATER PADS; SEAT AND BACK MASSAGE MOTORS (47); ELECTRONIC HAND CONTROLLER; AND ELECTRONIC CONTROL BOX. FIRST INCIDENT: IN (B)(6) 2014 CHAIR CEASED WORKING WITH SMELL OF BURNING PLASTICS AND ELECTRONICS, AND LIGHT SMOKE. CONSUMER CONTACTED MANUFACTURER FOR WARRANTY REPAIR AND CEASED USING CHAIR. CURRENT INCIDENT: ON (B)(6) 2014 CONTRACT SERVICE TECHNICIAN ARRIVED TO DIAGNOSE AND REPAIR CHAIR. TECHNICIAN REPLACED HAND CONTROLLER UNIT AND ELECTRONIC CONTROL BOX. WHILE TECHNICIAN WAS FINISHING THE REPAIR (SECURING CABLING WITH "ZIP" TIES) AND WITHOUT ANY INPUT, THE CONTROL BOX CAUGHT FIRE BRIEFLY AND EMITTED NOTICABLE SMOKE. TECHNICIAN WAS UNABLE TO DEFINITIVELY DIAGNOSE ISSUE, BUT SPECULATED THAT A MANUFACTURING FAULT IN EITHER HEATING PADS (MOST LIKELY) OR MASSAGING MOTOR CIRCUITS IS CAUSING A SHORT THAT COULD RESULT IN A FIRE. THERE WERE 3 WITNESSES TO THE SPONTANEOUS IGNITION OF CONTROL BOX. DATE MANUFACTURED: 06/23/2013. MANUFACTURER PHONE NUMBER: 8006342508. RETAILER: (B)(6). PURCHASE DATE: (B)(6) 2014. EXPLANATION: WIFE HAS ALZHEIMER'S AND CHAIR IS NEEDED FOR HER CARE; HAVE BEEN ATTEMPTING TO RESOLVE ISSUE WITH MANUFACTURER. DOCUMENT NUMBER: (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    84862 MEGA-MOTION PRODUCTS FOR BETTER LIVING LIFT CHAIR INO MEGA-MOTION, INC. LC-100

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR