FDA.reportPublic FDA data

MAUDE MDR 8662635

MDR report key
8662635
Report number
2530130-2019-00062
Event key
0
Event type
3
Date received
2019-06-03
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MISS KELLY LIVINGSTON
Address
401 YORK AVE DURYEA PA 18642 US
Phone
570-570-5706
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PRIDE MOBILITY PRODUCTSMOTORIZED THREE WHEELED VEHICLEPRIDE MOBILITY PRODUCTSINISC610 VICTORY 10 3 WHEELN/AN/AR Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-06-0301. H

Event Narratives#

No narrative records found.