STAIRFRIEND CSL 3000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-05-09 for STAIRFRIEND CSL 3000 manufactured by Savaria Concord Lifts Inc.

Event Text Entries

[74909594] Total units effected in the united states 119. As of reporting april 1 2016 - 44 units remain not corrected. The following dates are contacts with dealers by phone and/or email to enforce the requirement to correct the welded part. Initial parts order and shipment date. February 25th 2015, february 26th 2015 ,february 27th 2015. Follow up for work completion date. On may 2015 - insure receipt and understanding of correction august 2015 - follow up non completed units. On september - 2015 follow up non completed units. December - 2015 follow up non completed units. Sales department following up on individual basis.
Patient Sequence No: 1, Text Type: N, H10


[74909595] During operation it was found that some of the seat post welds were not properly done and the weld would crack causing the seat to tilt. Once tilted the seat is unable to swivel and if not addressed the seat post weld would continue to crack eventually corning completely separated there is the potential for the user to fall possibly causing injury.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005753836-2016-00002
MDR Report Key6554099
Date Received2017-05-09
Date of Report2016-03-28
Date of Event2015-02-24
Report Date2015-02-23
Date Reported to Mfgr2015-02-23
Date Mfgr Received2015-02-24
Device Manufacturer Date2014-03-01
Date Added to Maude2017-05-09
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. WILLIAM RICHARDSON
Manufacturer Street2 WALKER DRIVE
Manufacturer CityBRAMPTON, ONTARIO L6T5E1
Manufacturer CountryCA
Manufacturer PostalL6T5E1
Manufacturer Phone7995555
Manufacturer G1SAVARIA CONCORD LIFTS INC
Manufacturer Street2 WALKER DRIVE
Manufacturer CityBRAMPTON, ONTARIO L6T5E1
Manufacturer CountryCA
Manufacturer Postal CodeL6T5E1
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameSTAIRFRIEND
Generic NameCURVED STIAR CHAIR LIFT
Product CodePCD
Date Received2017-05-09
Model NumberCSL 3000
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSAVARIA CONCORD LIFTS INC
Manufacturer Address2 WALKER DRIVE BRAMPTON, ONTARIO L6T5E1 CA L6T5E1


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-05-09

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