MAUDE Adverse Event Report: PERMOBIL, INC. PERMOBIL F3 WHEELCHAIR; WHEELCHAIR, POWERED

Model Number F3

Device Problems Fire (1245); Melted (1385)

Patient Problem Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)

Event Date 09/24/2021

Event Type  Injury  

Event Description

My permobil f3 caught fire while charging, melted the standard charging port.Now it can't be recharged, stranded in bed for a week because can't use the wheelchair, stranded in bed until they get the parts and can get a repair tech to come, laying in a bed for weeks will cause me pneumonia; it could have burned my house down with me in it causing death.Permobil f3 faulty charging equipment could have caused major bodily harm or death because it started on fire.Fda safety report id # (b)(4).

• Brand Name: PERMOBIL F3 WHEELCHAIR
• Type of Device: WHEELCHAIR, POWERED
• Manufacturer (Section D): PERMOBIL, INC.
• MDR Report Key: 12576802
• MDR Text Key: 274756201
• Report Number: MW5104391
• Device Sequence Number: 1
• Product Code: ITI
• 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: 10/03/2021

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: No Information
• Device Model Number: F3
• Was Device Available for Evaluation?: Yes
• Initial Date Manufacturer Received: Not provided
• Initial Date FDA Received: 10/05/2021
• Was Device Evaluated by Manufacturer?: No Information
• Type of Device Usage: N
• Patient Sequence Number: 1
• Treatment: MAGNESIUM; POTASSIUM ; VENTILATOR LTV 1150; VITAMIN D ; WELLBUTRAN
• Patient Outcome(s): Life Threatening; Other; Required Intervention
• Patient Age: 38 YR
• Patient Weight: 70