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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PRIDE MOBILITY PRODUCTS CORPORATION PRIDE MOBILITY PRODUCTS; VEHICLE, MOTORIZED 3-WHEEL

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PRIDE MOBILITY PRODUCTS CORPORATION PRIDE MOBILITY PRODUCTS; VEHICLE, MOTORIZED 3-WHEEL Back to Search Results
Model Number GO GO ELITE TRAVELER 4 WHEEL SC44E
Medical Device Problem Code Appropriate Device Problem Term/Code Not Available (3191)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
Alleges a fire occurred where an elite traveler 4 wheel scooter was present.Alleging the fire was possibly due to recent repairs on the scooter.
 
Additional Manufacturer Narrative
The device has not yet been made available for evaluation.Should further information or the device become available, a follow-up report will then be issued.
 
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Brand Name
PRIDE MOBILITY PRODUCTS
Common Device Name
VEHICLE, MOTORIZED 3-WHEEL
Manufacturer (Section D)
PRIDE MOBILITY PRODUCTS CORPORATION
401 york avenue
duryea PA 18642
Manufacturer (Section G)
N/A
n/a
n/a
n/a
Manufacturer Contact
kelly livingston
401 york avenue
duryea, PA 18643
8008008586
MDR Report Key24518944
Report Number2530130-2026-01164
Device Sequence Number18555626
Product Code INI
UDI-Device Identifier00606509300100
UDI-Public00606509300100
Combination Product (Y/N)N
Initial Reporter StateHI
Initial Reporter CountryUS
PMA/510(K) Number
K063389
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Other,Consumer
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 03/05/2026
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
Operator of Device Lay User/Patient
Device Model NumberGO GO ELITE TRAVELER 4 WHEEL SC44E
Device Catalogue NumberN/A
Device Lot NumberN/A
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/19/2026
Initial Report FDA Received Date03/05/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured06/09/2022
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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