MAUDE Adverse Event Report: QUANTUM REHAB / PRIDE MOBILITY PRODUCTS CORP. QUANTUM REHAB QE6 WHEELCHAIR; WHEELCHAIR, POWERED

Device Problems Mechanical Problem (1384); Activation Failure (3270)

Patient Problem Physical Entrapment (2327)

Event Date 12/31/2022

Event Type  Injury  

Event Description

My quantum rehab qe6 wheelchair lift mechanism has failed catastrophically.It was acquired from numotion.They were notified in the fall 2022 of a suspicious - possibly pending failure - noise in the list mechanism and ordered a part.Numotion claims to be too busy to make a repair until (b)(6) 2023.I have already had to call (b)(6) to rescue me from the wheelchair because i depend on the ability to adjust the height of the chair in able to get into and out of it.I am the risk of falling both by sliding out of the chair and while trying to transfer.

• Brand Name: QUANTUM REHAB QE6 WHEELCHAIR
• Type of Device: WHEELCHAIR, POWERED
• Manufacturer (Section D): QUANTUM REHAB / PRIDE MOBILITY PRODUCTS CORP.
• MDR Report Key: 16132106
• MDR Text Key: 307078570
• Report Number: MW5114239
• Device Sequence Number: 1
• Product Code: ITI
• 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: 01/05/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 01/09/2023
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Device Operator: Lay User/Patient
• Was Device Available for Evaluation?: Yes
• Patient Sequence Number: 1
• Treatment: TOO MANY TO LIST
• Patient Outcome(s): Required Intervention; Life Threatening
• Patient Age: 73 YR
• Patient Sex: Female
• Patient Weight: 147 KG
• Patient Ethnicity: Non Hispanic
• Patient Race: White