BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SAVARIA

    MDR report key: 6554074 · Received May 9, 2017

    Report

    Report Number
    3005753836-2016-00004
    Event Type
    Malfunction
    Date Received
    May 9, 2017
    Date of Event
    July 30, 2015
    Report Date
    July 11, 2016
    Manufacturer
    SAVARIA CONCORD LIFTS INC
    Product Code
    PCD
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE STAIRLIFT OPERATED PROPERLY STOPPING AT THE BOTTOM LANDING OF THE STAIRCASE. THE USER EXITED THE AREA OF THE LIFT AND THE USERS HUSBAND ATTEMPTED TO RUN THE LIFT BACK UP THE STAIRS. THE LIFT DID NOT OPERATE AND THE OPERATOR NOTICED THE CIRCUIT BREAKER HAD TRIPPED ON THE UNIT. HE ATTEMPTED TO RE SET THE BREAKER AND IT IMMEDIATELY TRIPPED AGAIN. HE ONCE AGAIN RE SET THE BREAKER HOLDING IT IN THE ON (CLOSED) POSITION AND THE UNIT SPARKED AND START TO BURN. THE PERSON EXTINGUISHED THE FLAME WITH NO HARM OR INJURY TO ANY PERSON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    336812 SAVARIA SL 1000 PCD SAVARIA CONCORD LIFTS INC SL 1000

    Patients

    Seq Age Sex Outcome Treatment
    1