130 ACORN RH

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2020-01-03 for 130 ACORN RH manufactured by Acorn Stairlifts, Inc..

Event Text Entries

[178532495] Ems called acorn starilifts, inc. Customer support on 12/5/2019 and asked us how to hand wind the stairlift to the top of the rail so the stairlift would clear egress to transport the user down the stairs. The stairlift was installed on 4/19/2011. The stairlift has had an annual service inspection once a year since 2016 on the following dates 6/6/2016, 5/19/2017, 6/12/2018, and 8/23/2019. On (b)(6) 2019 the client reported the stairlift running slow and the batteries were replaced. Until (b)(6) 2019, the stairlift has been working with no incidents reported continuously since (b)(6) 2011. At this time root cause can't be determined as it is not currently possible to reconstruct what caused the user's knees to make contact with the wall. He is currently in rehab and unable to be measured and/or demonstrate what kept him from clearing the handrail. There were no reported ride quality or clearance issues prior to the incident on (b)(6) 2019. Only the staircase measurements are on file, the user's measurements are not documented and will have to be obtained on-site when the user has returned from rehab in late january/early february.
Patient Sequence No: 1, Text Type: N, H10


[178532496] On (b)(6) 2019, the user's son called in to schedule service for his father (the user). The stairlift had stopped working during use. He stated that his father had used the stairlift to go upstairs and his knees were dragging against the wall; his left knee became trapped where the handrail attaches to the handrail bracket (3rd bracket from the bottom). The user continued to drive the stairlift up as his left foot pressed into the footrest causing an injury to his left ankle. It was at this point the stairlift quit working and the user was stuck with his left leg pinned between the footrest and the handrail. Ems was called to assist and remove the user from the stairlift. Ems took the handrail down to free the user's leg and transported him to get medical attention.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3003124453-2020-00001
MDR Report Key9549482
Report SourceCONSUMER
Date Received2020-01-03
Date of Report2020-03-25
Date of Event2019-12-05
Date Mfgr Received2019-12-05
Device Manufacturer Date2011-04-20
Date Added to Maude2020-01-03
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. DORIAN PEARSON-SHAVER
Manufacturer Street7001 LAKE ELLENOR DRIVE
Manufacturer CityORLANDO, FL FL 32809
Manufacturer CountryUS
Manufacturer Postal32809
Manufacturer Phone4076500216
Manufacturer G1ACORN STAIRLIFTS, INC.
Manufacturer Street7001 LAKE ELLENOR DRIVE
Manufacturer CityORLANDO, FL FL 32809
Manufacturer CountryUS
Manufacturer Postal Code32809
Single Use3
Remedial ActionRP
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name130 ACORN RH
Generic NamePOWER STAIRWAY CHAIR LIFT
Product CodePCD
Date Received2020-01-03
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerACORN STAIRLIFTS, INC.
Manufacturer Address7001 LAKE ELLENOR DRIVE ORLANDO, FL FL 32809 US 32809


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2020-01-03

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