PRIDE MOBILITY PRODUCTS LC525IM N/A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2019-04-02 for PRIDE MOBILITY PRODUCTS LC525IM N/A manufactured by Pride Mobility Products.

Event Text Entries

[140635721] The customer discarded the hand control. The remainder of the device has not yet been made available for evaluation. Should further information or the device become available, a follow-up report will then be issued.
Patient Sequence No: 1, Text Type: N, H10


[140635722] Alleges being reclined back in the chair when she smelled something burning and alleges the hand control caught on fire. Alleges she yanked the control from the chair and threw it outside and roommate threw the hand control away.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2530130-2019-00034
MDR Report Key8473967
Report SourceCONSUMER
Date Received2019-04-02
Date of Report2019-07-23
Date Mfgr Received2019-03-28
Device Manufacturer Date2017-08-29
Date Added to Maude2019-04-02
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMISS KELLY LIVINGSTON
Manufacturer Street401 YORK AVE
Manufacturer CityDURYEA PA 18642
Manufacturer CountryUS
Manufacturer Postal18642
Manufacturer Phone5706024056
Manufacturer G1N/A
Manufacturer StreetN/A N/A
Manufacturer CityN/A
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePRIDE MOBILITY PRODUCTS
Generic NameELECTRIC POSITIONING CHAIR
Product CodeINO
Date Received2019-04-02
Returned To Mfg2019-05-28
Model NumberLC525IM
Catalog NumberN/A
Lot NumberN/A
OperatorLAY USER/PATIENT
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerPRIDE MOBILITY PRODUCTS
Manufacturer Address401 YORK AVE DURYEA PA 18642 US 18642


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-04-02

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