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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PRIDE MOBILITY PRODUCTS PRIDE MOBILITY PRODUCTS; ELECTRIC POSITIONING CHAIR
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PRIDE MOBILITY PRODUCTS PRIDE MOBILITY PRODUCTS; ELECTRIC POSITIONING CHAIR Back to Search Results
Model Number LC250
Device Problem Appropriate Term/Code Not Available (3191)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Type  malfunction  
Manufacturer Narrative
The device has not yet been made available for evaluation.Should the device become available or further information become available, a follow-up report will then be issued.
 
Event Description
Provider alleges consumer had their chair plugged into a power strip with other connections and the strip allegedly created a little fire.
 
Manufacturer Narrative
The device was scrapped in the field.
 
Event Description
Provider alleges consumer had their chair plugged into a power strip with other connections and the strip allegedly created a little fire.
 
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Brand Name
PRIDE MOBILITY PRODUCTS
Type of Device
ELECTRIC POSITIONING CHAIR
Manufacturer (Section D)
PRIDE MOBILITY PRODUCTS
401 york ave
duryea PA 18642
MDR Report Key11831010
MDR Text Key250804347
Report Number2530130-2021-00044
Device Sequence Number1
Product Code INO
UDI-Device Identifier00606509400237
UDI-Public00606509400237
Combination Product (y/n)N
PMA/PMN Number
K070950
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type distributor
Type of Report Initial,Followup
Report Date 06/03/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Model NumberLC250
Device Catalogue NumberN/A
Device Lot NumberN/A
Was Device Available for Evaluation? Yes
Initial Date Manufacturer Received 05/07/2021
Initial Date FDA Received05/17/2021
Supplement Dates Manufacturer Received05/07/2021
Supplement Dates FDA Received06/07/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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