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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SAVARIA NEDERLAND B.V. SAVARIA NEDERLAND BV; STAIRLIFT

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SAVARIA NEDERLAND B.V. SAVARIA NEDERLAND BV; STAIRLIFT Back to Search Results
Model Number 1100
Medical Device Problem Codes Mechanical Problem (1384); Unintended Movement (3026)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/26/2026
Type of Reportable Event Malfunction
Event or Problem Description
The chair lost its hold and slid down when the end-user stopped temporarily mid way going down the stair.
 
Additional Manufacturer Narrative
End user reported sliding.Maybe related to mechanical issue because component contributed safety changed apr 2024 ecn2572.
 
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Brand Name
SAVARIA NEDERLAND BV
Common Device Name
STAIRLIFT
Manufacturer (Section D)
SAVARIA NEDERLAND B.V.
savaria nederland b.v.
newtonstraat 35
heerhugowaard, 1704S B
NL  1704SB
Manufacturer (Section G)
SAVARIA NEDERLAND B.V.
savaria nederland b.v.
newtonstraat 35
heerhugowaard, 1704S B
NL   1704SB
Manufacturer Contact
peter laan
savaria nederland b.v.
newtonstraat 35
heerhugowaard, 1704S-B
NL   1704SB
MDR Report Key24912393
Report Number3013423626-2026-00001
Device Sequence Number9067540
Product Code PCD
UDI-Device Identifier08719326254326
UDI-Public8719326254326
Combination Product (Y/N)N
Initial Reporter CountryCA
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Y
Reporter Type Manufacturer
Report Source Distributor
Initial Reporter Occupation Non-Healthcare Professional
Remedial Action Replace
Type of Report Initial
Report Date (Section B) 04/16/2026
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
Operator of Device Lay User/Patient
Device Model Number1100
Device Catalogue Number1100
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/08/2026
Initial Report FDA Received Date04/17/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/12/2023
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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