PRIDE MOBILITY PRODUCTS QUANTUM 600 N/A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2020-02-12 for PRIDE MOBILITY PRODUCTS QUANTUM 600 N/A manufactured by Pride Mobility Products.

MAUDE Entry Details

Report Number2530130-2020-00022
MDR Report Key9699513
Report SourceDISTRIBUTOR
Date Received2020-02-12
Date of Report2020-02-10
Date Mfgr Received2020-02-07
Device Manufacturer Date2012-03-22
Date Added to Maude2020-02-12
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
Manufacturer CountryUS
Manufacturer Phone6024056
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 NamePOWERED WHEELCHAIR
Product CodeITI
Date Received2020-02-12
Model NumberQUANTUM 600
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 US


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2020-02-12

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.