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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PRIDE MOBILITY PRODUCTS CORPORATION Pride Mobility Products; chair, Positioning, Electric

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PRIDE MOBILITY PRODUCTS CORPORATION Pride Mobility Products; chair, Positioning, Electric Back to Search Results
Model Number PLR3955M
Medical Device Problem Code Appropriate Device Problem Term/Code Not Available (3191)
Health Effect - Clinical Codes Burn(s) (1757); No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Serious Injury
Event or Problem Description
Attorney alleges that a fire occurred at a property where a pride mobility viva lift power recliner.
 
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.
 
Event or Problem Description
Attorney alleges that a fire occurred at a property where a pride mobility viva lift power recliner.
 
Additional Manufacturer Narrative
B2: updated report to note tthere was a death.H6: update to reflect burns.H6: update to reflect death.Per the fire report, the heat source is listed as a cigarette.
 
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Brand Name
Pride Mobility Products
Common Device Name
chair, Positioning, Electric
Manufacturer (Section D)
PRIDE MOBILITY PRODUCTS CORPORATION
401 york avenue
duryea PA 18643
Manufacturer (Section G)
N/A
n/a
n/a
n/a
Manufacturer Contact
kelly livingston
401 york avenue
duryea, PA 18643
+1(800)800-8586
MDR Report Key25762462
Report Number2530130-2026-01334
Device Sequence Number18588714
Product Code INO
UDI-Device Identifier00606509401494
UDI-Public00606509401494
Combination Product (Y/N)N
Initial Reporter StateOH
Initial Reporter CountryUS
PMA/510(K) Number
K091578
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,Distributor
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date (Section B) 08/13/2026
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
Operator of Device Lay User/Patient
Device Model NumberPLR3955M
Device Catalogue NumberN/A
Device Lot NumberN/A
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/26/2026
Supplement Date Received by Manufacturer06/26/2026
Initial Report FDA Received Date07/09/2026
Supplement Report FDA Received Date08/13/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured11/24/2025
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
Outcome Attributed to Adverse Event Other; Death;
Patient SexUnknown
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