FDA Adverse Event
Malfunction
Summary report: N
ACORN STAIRLIFT
MDR report key: 5590004
·
Received April 20, 2016
Report
- Report Number
- 3006310491-2016-00002
- Event Type
- Malfunction
- Date Received
- April 20, 2016
- Date of Event
- February 27, 2016
- Report Date
- March 18, 2016
- Manufacturer
- ACORN MOBILITY SERVICES LTD
- Product Code
- PCD
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
CUSTOMER CALLED THAT WHILST DISMOUNTING STAIRLIFT AT BOTTOM OF STAIRWAY SEATBASE SNAPPED OFF.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 244699 | ACORN STAIRLIFT | STAIRWAY CHAIRLIFT | PCD | ACORN MOBILITY SERVICES LTD | 180 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 81 YR |