BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ACORN STAIRLIFTS

    MDR report key: 5382778 · Received January 14, 2016

    Report

    Report Number
    3006310491-2016-00001
    Event Type
    Injury
    Date Received
    January 14, 2016
    Date of Event
    June 8, 2015
    Report Date
    January 4, 2016
    Manufacturer
    ACORN MOBILITY SERVICES LTD
    Product Code
    PCD
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    USER WAS TRAVELLING ON STAIRLIFT IN DOWN DIRECTION FROM TOP FLOOR WHEN SEAT PAD BASE BECAME DETACHED FROM HINGES OF SEAT RESULTING IN SEAT PAD BASE AND USER FALLING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    26666 ACORN STAIRLIFTS STAIRWAY CHAIRLIFT PCD ACORN MOBILITY SERVICES LTD 180 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR Hospitalization