BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GOLDEN LIFT CHAIR

    MDR report key: 775135 · Received October 31, 2006

    Report

    Report Number
    2523955-2006-00001
    Event Type
    Injury
    Date Received
    October 31, 2006
    Date of Event
    September 19, 2006
    Report Date
    October 19, 2006
    Manufacturer
    GOLDEN TECHNOLOGIES, INC.
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    DEVICE WAS EVALUATED BY THE DME DEALER AND BY GOLDEN TECHNOLOGIES, INC AND NO DEFECTS WERE FOUND. THE LIFT CHAIR OPERATED AS SPECIFIED.

    Description of Event or Problem · 1

    PATIENT CLAIMS THAT "CHAIR GAVE OUT" WHILE PATIENT WAS GETTING OUT CAUSING THEM TO FALL AND BREAK HER LOWER LEG.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GOLDEN LIFT CHAIR LIFT CHAIR FNG GOLDEN TECHNOLOGIES, INC. PR-501M FAD *

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Disability