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Adverse Event Report

PRIDE HEALTHCARE, INC. PRIDE SCOOTER   back to search results
Event Date 05/27/1996
Event Type  Other   Patient Outcome  Other;
Event Description

It is alleged that the customer was sitting on the scooter talking on the telephone to her son when suddenly the scooter lurched forward, taking customer through her scrren door and off the front patio into the rain. There was a thunderstorm at the time of incident. Customer alleges she fractured her tailbone and sustained personal injuries.

 
Manufacturer Narrative

Cannot conclude malfunction. Device not returned.

 
Search Alerts/Recalls

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Brand NamePRIDE
Type of DeviceSCOOTER
Baseline Device 510(K) Number
Baseline Device PMA Number
Manufacturer (Section F)
PRIDE HEALTHCARE, INC.
182 susquehanna ave.
exeter PA 18643
Manufacturer (Section D)
PRIDE HEALTHCARE, INC.
182 susquehanna ave.
exeter PA 18643
Manufacturer (Section G)
PRIDE MOBILITY PRODUCTS CORP.
508 delaware ave.
west pittston PA 18643 2108
Device Event Key189789
MDR Report Key195340
Event Key183572
Report Number2530130-1998-00022
Device Sequence Number1
Product CodeINI
Report Source Manufacturer
Source Type Consumer
Reporter Occupation ATTORNEY
Type of Report Initial
Report Date 10/25/1998
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received10/30/1998
Is This An Adverse Event Report? No
Is This A Product Problem Report? Yes
Device Operator Lay User/Patient
Is The Reporter A Health Professional? No
Was the Report Sent to FDA? No
Date Manufacturer Received05/27/1996
Was Device Evaluated By Manufacturer? Device Not Returned To Manufacturer
Is The Device Single Use? Yes
Is the Device an Implant? No
Is this an Explanted Device? No Answer Provided
Type of Device Usage Unkown

Database last updated on January 30, 2009

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