FDA Adverse Event Malfunction Summary report: N

FREECURVE

MDR report key: 9513101 · Received December 23, 2019

Report

Report Number
3007802293-2019-00048
Event Type
Malfunction
Date Received
December 23, 2019
Date of Event
December 4, 2019
Report Date
December 23, 2019
Manufacturer
HANDICARE STAIRLIFTS B.V
Product Code
PCD
Product Problem
Yes
Report Source
Distributor report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

SWIVEL MOTOR ACTUATOR SHAFT BROKEN, USER FELL DOWN THE STAIRS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1308616 FREECURVE STAIRLIFTS PCD HANDICARE STAIRLIFTS B.V

Patients

Seq Age Sex Outcome Treatment
1