FDA Adverse Event
Injury
Summary report: N
HANDICARE
MDR report key: 17836931
·
Received September 28, 2023
Report
- Report Number
- 3005753836-2023-00001
- Event Type
- Injury
- Date Received
- September 28, 2023
- Date of Event
- August 9, 2023
- Report Date
- September 27, 2023
- Manufacturer
- HANDICARE STAIRLIFTS B.V.
- Product Code
- PCD
- UDI-DI
- 8719326254326
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
UNIT WILL BE BROUGHT BACK TO DISTRIBUTION FACILITY IN CANADA FOR INVESTIGATION.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE USER WAS ATTEMPTING TO SIT ON THE UNIT AND CHAIR SLIDE DOWN THE RAIL STAIRLIFT RAIL. THE USER WAS EJECTING EJECTED FROM THE CHAIR ONTO THE FLOOR. HIS BROTHER CALLED AN AMBULANCE. USER WAS REPORTEDLY ADMITTED TO HOSPITAL FOR 2 DAYS AND NOW OUT DOING THERAPY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2099274 | HANDICARE | STAIR CHAIR LIFT | PCD | HANDICARE STAIRLIFTS B.V. | 1100 | 8719326254326 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 72 YR | Male | Hospitalization |