BEUDAMED
    FDA Adverse Event Injury Summary report: N

    130 ACORN T700 RH USA

    MDR report key: 15178288 · Received August 5, 2022

    Report

    Report Number
    3003124453-2022-00006
    Event Type
    Injury
    Date Received
    August 5, 2022
    Date of Event
    January 3, 2022
    Report Date
    July 29, 2022
    Manufacturer
    ACORN STAIRLIFTS, INC.
    Product Code
    PCD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    003

    Narratives

    Description of Event or Problem · 0

    ON 12/29/2021 THE CUSTOMER'S DAUGHTER CONTACTED ACORN STAIRLIFTS, INC. AND REPORTED THAT THE STAIRLIFT WAS NOT OPERATIONAL. SERVICE WAS SCHEDULED FOR 01/07/2022. ON 01/03/2022, THE CUSTOMER'S DAUGHTER CALLED ACORN. AND REPORTED THAT ON (B)(6) 2021, HER FATHER WAS WALKING DOWN THE STAIRS WHEN HE TOOK A STEP FROM THE BOTTOM, HE LOST HIS BALANCE AND FELL, RESULTING IN HOSPITLIZATION WITH A BROKEN HIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2433006 130 ACORN T700 RH USA POWERED STAIRWAY CHAIR LIFT PCD ACORN STAIRLIFTS, INC. 130 T700

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR Male Hospitalization