PRIDE MOBILITY PRODUCTS LC105 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 2019-04-23 for PRIDE MOBILITY PRODUCTS LC105 N/A manufactured by Pride Mobility Products.

Event Text Entries

[142753378] The death notated in this file is in reference to the dog. The device has not yet been made available for evaluation. Should further information or the device become available for evaluation, a follow-up report will then be issued.
Patient Sequence No: 1, Text Type: N, H10


[142753379] Consumer alleges her dog was sleeping under the lift chair when her mother in law put the chair in the down position allegedly killing the dog.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2530130-2019-00045
MDR Report Key8539604
Report SourceCONSUMER
Date Received2019-04-23
Date of Report2019-04-22
Date of Event2019-04-09
Date Mfgr Received2019-04-12
Device Manufacturer Date2011-01-19
Date Added to Maude2019-04-23
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 Received2019-04-23
Model NumberLC105
Catalog NumberN/A
Lot NumberN/A
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerPRIDE MOBILITY PRODUCTS
Manufacturer Address401 YORK AVE DURYEA PA 18642 US 18642


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2019-04-23

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