MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2017-04-05 for ACORN 130 RH manufactured by Acorn Stairlifts, Inc..
[71824650]
Customer's grandson was helping him onto the stairlift at the top of the stairs. The stairlift was locked in a 45 degree angle. The grandson turned his back to move the customer's walker out of the way when the customer tried to slide himself back onto the chair. At that point, the customer fell over the armrest of the chair and down the stairs. The customer was taken to the hospital and suffered fractured ribs and a concussion. Stairlift was inspected and all components operated to spec.
Patient Sequence No: 1, Text Type: N, H10
[71824651]
Customer was being assisted onto the stairlift by his grandson. The stairlift was locked in the 45 degree position at the top of the staircase. Customer's grandson turned away to move the walker, at that point, the customer attempted to slide back onto the chair and fell over the armrest of the stairlift and down the stairs.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3003124453-2017-00005 |
| MDR Report Key | 6461873 |
| Report Source | CONSUMER |
| Date Received | 2017-04-05 |
| Date of Report | 2017-04-05 |
| Date of Event | 2017-03-04 |
| Date Mfgr Received | 2017-03-06 |
| Device Manufacturer Date | 2017-01-17 |
| Date Added to Maude | 2017-04-05 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MS TRACY BERO |
| Manufacturer Street | 7001 LAKE ELLENOR |
| Manufacturer City | ORLANDO FL 328095792 |
| Manufacturer Country | US |
| Manufacturer Postal | 328095792 |
| Manufacturer Phone | 4076500216 |
| Single Use | 3 |
| Remedial Action | IN |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ACORN 130 RH |
| Generic Name | POWERED STAIRWAY CHAIRLIFT |
| Product Code | PCD |
| Date Received | 2017-04-05 |
| Operator | LAY USER/PATIENT |
| Device Availability | N |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ACORN STAIRLIFTS, INC. |
| Manufacturer Address | 7001 LAKE ELLENOR DRIVE ORLANDO FL 328095792 US 328095792 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Hospitalization | 2017-04-05 |