BEUDAMED
    FDA Adverse Event Other Summary report: N

    LEGEND

    MDR report key: 576654 · Received February 23, 2005

    Report

    Report Number
    MW1034737
    Event Type
    Other
    Date Received
    February 23, 2005
    Date of Event
    June 1, 2003
    Report Date
    February 23, 2005
    Manufacturer
    PRIDE HEALTH CARE, INC.
    Product Code
    INI
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    WHEN PT WENT INTO A LONG TERM CARE NURSING FACILITY THEY BROUGHT SCOOTER WITH THEM. IT STARTED WITH SURGES AND ABRUPT STOPPING OR HESITATIONS. PT THOUGHT IT WAS BAD BATTERIES SO THEY REPLACED THEM. THIS CONTINUED ON. PT FOUND THAT WHEN THEY REMOVED THE KEY AND TAPPED IT LIGHTLY ON THE TOP OF THE CONSOLE IT WOULD GO AGAIN THINKING THIS WAS WHAT WAS WORKING. PT JUST ACCEPTED THAT SINCE THEY COULD NOT AFFORD TO HAVE IT LOOKED AT. OVER A YEAR OF DOING THIS THEY FINALLY LET RPTR SEE IF THEY COULD FIND SOMEONE TO CHECK IT OUT. RPTR FOUND PT'S BOOK ON IT AND WHEN READING FOUND THAT THE SYMPTOMS ARE EXACTLY AS STATED IN THE BOOK FOR COMPLICATIONS FROM EMI.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LEGEND PRIDE ELECTRIC SCOOTER INI PRIDE HEALTH CARE, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Other