SCALAMOBIL S36
Received Jun 24, 2021 · Event occurred Jun 14, 2021
Report 3004730072-2021-00002 · MDR key 12056657
Device
Product problems
- Use of Device Problem
- Insufficient Device Problem Information
- Use of Device Problem
- Insufficient Device Problem Information
Patient
Not reported
- Abrasion
- Bruise/Contusion
- Laceration(s)
- Abrasion
- Bruise/Contusion
- Laceration(s)
Narrative
Description of Event or Problem
THE OPERATOR (NURSE ASSISTANT/CAREGIVER) WANTED TO TRANSFER THE PATIENT DOWN A STAIRCASE WITH 4 STEPS ON (B)(6) 2021. AFTER THE SECOND STEP, THE STAIRCLIMBER COULD NO LONGER BE OPERATED, THE SEAT AND THE BACKREST FLEW OUT AND THE OPERATOR AND THE PATIENT FELL DOWN THE STAIRS. THE PATIENT SUFFERED LACERATIONS, BRUISES, CONTUSIONS AND ABRASIONS ON THE LEGS. THE OPERATOR SUFFERED BRUISES TO THE BODY AND NOSE. BOTH THE PATIENT AND THE OPERATOR WERE TREATED AT THE EMERGENCY ROOM OF THE HOSPITAL. THE OPERATOR IS EMPLOYED AS A NURSING ASSISTANT/CAREGIVER BY THE DAUGHTER. ONE OF THE PATIENT'S DAUGHTERS INSTRUCTED THE OPERATOR IN THE HANDLING AND OPERATION OF THE SCALAMOBIL.
Additional Manufacturer Narrative
THE RECEIVED STAIRCLIMBER WAS EXAMINED IN DETAIL. FROM A TECHNICAL POINT OF VIEW, NO DEFECTS COULD BE FOUND WHICH COULD HAVE CAUSED THE ACCIDENT DESCRIBED. ACCORDING TO THE INSTRUCTIONS FOR USE (PAGE 31), INSTRUCTION ON THE DEVICE SHOULD HAVE BEEN GIVEN BY A AUTHORIZED DEALER OR AGENT OF ALBER: "THE SCALAMOBIL MUST ONLY BE OPERATED BY PERSONS WHO HAVE PARTICIPATED IN THE INSTRUCTION SESSION PROVIDED BY THE AUTHORISED DEALER OR AN AGENT OF ALBER GMBH. DURING THE INSTRUCTION SESSION PROVIDED BY YOUR AUTHORISED DEALER OR AN AGENT OF ALBER GMBH, ENSURE THAT YOU ARE PROPERLY INFORMED OF ALL THE FUNCTIONS OF THE SCALAMOBIL AND ITS OPERATION AS A STAIR CLIMBER. IN ADDITION, TEST THE DEVICE BY CLIMBING A STAIRCASE WITH AN EMPTY WHEELCHAIR TO FAMILIARISE YOURSELF WITH THE STAIR CLIMBER¿S OPERATING BEHAVIOUR.¿ WE MAKE THE EDUCATED GUESS THAT THE INCIDENT DESCRIBED WAS CAUSED BY AN OPERATING ERROR.
Additional Manufacturer Narrative
THIS EVENT OCCURED IN (B)(6). ALBER GMBH IS FILING THIS REPORT BECAUSE THE DEVICE IS MARKETED AND SOLD IN THE U.S. ALBER GMBH WILL START THE PHYSICAL EVALUATION OF THE DEVICE (DEVICE RETURNED TO ALBER GMBH 22 JUNE 2021).
Description of Event or Problem
THE OPERATOR (NURSE ASSISTANT/CAREGIVER) WANTED TO TRANSFER THE PATIENT DOWN A STAIRCASE WITH 4 STEPS ON (B)(6) 2021. AFTER THE SECOND STEP, THE STAIRCLIMBER COULD NO LONGER BE OPERATED, THE SEAT AND THE BACKREST FLEW OUT AND THE OPERATOR AND THE PATIENT FELL DOWN THE STAIRS. THE PATIENT SUFFERED LACERATIONS, BRUISES, CONTUSIONS AND ABRASIONS ON THE LEGS. THE OPERATOR SUFFERED BRUISES TO THE BODY AND NOSE. BOTH THE PATIENT AND THE OPERATOR WERE TREATED AT THE EMERGENCY ROOM OF THE HOSPITAL. THE OPERATOR IS EMPLOYED AS A NURSING ASSISTANT/CAREGIVER BY THE DAUGHTER. ONE OF THE PATIENT'S DAUGHTERS INSTRUCTED THE OPERATOR IN THE HANDLING AND OPERATION OF THE SCALAMOBIL.
Remedial action
- Inspection