Brand Name | ACORN STAIRLIFT |
Type of Device | STAIRWAY CHAIRLIFT |
Manufacturer (Section D) |
ACORN MOBILITY SERVICES LTD |
telecom house |
millenium business park |
steeton, west yorkshire BD20 6RB |
UK BD20 6RB |
|
Manufacturer Contact |
william
waddell
|
telecom house |
millenium business park |
steeton, west yorkshire BD20 -6RB
|
UK
BD20 6RB
|
053291000
|
|
MDR Report Key | 5590004 |
MDR Text Key | 43174030 |
Report Number | 3006310491-2016-00002 |
Device Sequence Number | 1 |
Product Code |
PCD
|
Combination Product (y/n) | N |
Reporter Country Code | UK |
PMA/PMN Number | EXEMPT |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
consumer |
Reporter Occupation |
Other
|
Remedial Action |
Replace |
Type of Report
| Initial |
Report Date |
03/18/2016 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Lay User/Patient
|
Device Model Number | 180 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 02/27/2016 |
Initial Date Manufacturer Received |
02/27/2016
|
Initial Date FDA Received | 04/20/2016 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 03/01/2013 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
Patient Age | 81 YR |
|
|