BEUDAMED
    FDA Adverse Event Other Summary report: N

    STANNAH

    MDR report key: 4814860 · Received May 26, 2015

    Report

    Report Number
    MW5042886
    Event Type
    Other
    Date Received
    May 26, 2015
    Date of Event
    February 1, 2014
    Report Date
    May 18, 2015
    Product Code
    IPL
    Report Source
    Voluntary report
    Reporter Location
    CT, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CONSUMER STATED THAT SHORTLY AFTER THE CHAIR LIFT WAS INSTALLED (DATE UNK) THE CONSUMER SAW THAT SILICONE OIL WAS SPEWING FROM THE CHAIN WHICH IS NOT COVERED. THE CONSUMER CONTACTED THE COMPANY. THE CONSUMER STATED THAT MR. (B)(4) AND HIS SON CAME BACK OUT AND ADVISED THE CONSUMER THAT IT WAS ONLY DUST. THE CHAIR IS ALSO JERKING AS IT COMES AROUND THE CORNER AT THE BOTTOM STAIRS AND SCRATCHING THE PIPES. ALSO, THE MATERIAL ON THE FOOT PAD IS SHREDDING. THE CONSUMER STATED THAT THE LAST TIME THE COMPANY SENT SOMEONE ELSE, THE SON WAS USING (B)(6) TO CLEAN THE OIL. RETAILER: (B)(4). THE PROD WAS NOT DAMAGED BEFORE THE INCIDENT. THE PROD WAS NOT MODIFIED BEFORE THE INCIDENT. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    338610 STANNAH CHAIR LIFT IPL 260

    Patients

    Seq Age Sex Outcome Treatment
    1