BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HANDICARE

    MDR report key: 10065631 · Received May 18, 2020

    Report

    Report Number
    3007802293-2020-00009
    Event Type
    Malfunction
    Date Received
    May 18, 2020
    Report Date
    May 18, 2020
    Manufacturer
    HANDICARE STAIRLIFTS B.V
    Product Code
    PCD
    UDI-DI
    08719326254326
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    US
    Reporter Occupation
    003

    Narratives

    Description of Event or Problem · 1

    WHEN THE USER WAS APPROXIMATELY HALF-WAY UP THE STAIRS, THE SEATBELT BROKE AND THE USER FELL FROM THE SEAT. THE USER'S FATHER CAUGHT HIM, RETURNED HIM TO THE SEAT, AND CONTINUED THE RIDE TO THE TOP OF THE STAIRS. THE USER WAS NOT INJURED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    529361 HANDICARE 1100 PCD HANDICARE STAIRLIFTS B.V 1100 08719326254326

    Patients

    Seq Age Sex Outcome Treatment
    1