MAUDE Adverse Event Report: PRIDE MOBILITY PRODUCTS CORP. LIFT CHAIR; CHAIR, POSITIONING, ELECTRIC

Model Number 525IL

Device Problem Mechanical Jam (2983)

Patient Problem No Known Impact Or Consequence To Patient (2692)

Event Date 03/05/2020

Event Type  malfunction  

Event Description

My three month old's lift chair is stuck in the fully uplifted position.Pride infinity model 525il delivered on (b)(6) 2019 from (b)(6) depot out of (b)(6).Fda safety report id# (b)(4).

• Brand Name: LIFT CHAIR
• Type of Device: CHAIR, POSITIONING, ELECTRIC
• Manufacturer (Section D): PRIDE MOBILITY PRODUCTS CORP.
• MDR Report Key: 9840491
• MDR Text Key: 183957671
• Report Number: MW5093784
• Device Sequence Number: 1
• Product Code: INO
• Combination Product (y/n): N
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Patient
• Type of Report: Initial
• Report Date: 03/12/2020

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 03/16/2020
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Lay User/Patient
• Device Model Number: 525IL
• Was Device Available for Evaluation?: Yes
• Was Device Evaluated by Manufacturer?: No Information
• Type of Device Usage: N
• Patient Sequence Number: 1
• Patient Age: 63 YR
• Patient Weight: 122