FDA Adverse Event
Injury
Summary report: N
1100 STRAIGHT STAIRLIFT
MDR report key: 15676654
·
Received October 26, 2022
Report
- Report Number
- 3011268530-2022-00001
- Event Type
- Injury
- Date Received
- October 26, 2022
- Date of Event
- September 30, 2022
- Report Date
- October 26, 2022
- Manufacturer
- HANDICARE ACCESSIBILITY LTD.
- Product Code
- PCD
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- MO, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
THE SEAT/FOOTREST CHASSIS OF AN 1100 DETACHED FROM THE POWERPACK, WITH THE USER ON THE LIFT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2599711 | 1100 STRAIGHT STAIRLIFT | POWERED STAIRLIFT | PCD | HANDICARE ACCESSIBILITY LTD. | 1100 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Other |