BRUNO
Received Oct 11, 2020 · Event occurred Feb 16, 2018
Report 2131358-2018-00002 · MDR key 10660082
Device
Generic name
Vertical Platform Lift
Manufacturer
Bruno Independent Living Aids, Inc.Model number
VPL-3175Product problems
- Therapeutic or Diagnostic Output Failure
Patient
60 YR
- Injury
- Injury
Narrative
Additional Manufacturer Narrative
SENT CHIEF ENGINEER FOR THE PRODUCT LINE TO INSPECT UNIT IN FIELD, FOUND THAT THE ACCIDENT SITE CONDITION HAD BEEN COMPROMISED SINCE THE ORIGINAL ACCIDENT CONDITION. DISCOVERY SHOWED THAT THE SAFETY SYSTEM HAD BEEN BYPASSED ALLOWING THE LIFT TO RUN. BACKUP FAILURE CAUSED THE UNIT TO DROP. BASED ON DISCUSSIONS AT SITE WITH DEALER, SUSPECT THIS BYPASS OF SAFETY SYSTEM OCCURRED WHEN DEALER SERVICED THE UNIT IN APRIL 2017 (10 MONTHS BEFORE THE ACCIDENT). AFTER LOCKING OUT THE EQUIPMENT, ACCESS TO THE SAFETY CIRCUIT IS ONLY GAINED BY USING TOOLS TO REMOVE LARGE TOWER ACCESS PANELS. THEN THE DRIVE NUT SAFETY CIRCUITRY WAS BYPASSED WITH A HARNESS. MAINTENANCE OF THE EQUIPMENT AND THE CIRCUITRY IS GONE OVER IN DETAIL DURING REQUIRED DEALER TRAINING. THE ABILITY TO BYPASS THE DRIVE SAFETY CIRCUITRY IS REQUIRED IN THE EVENT OF FAILURE TO ALLOW FIRST RESPONDERS TO USE THE SAFETY NUT FOR A ONE WAY TRIP SAFELY LOWER THE PLATFORM TO LOWER LANDING AND THEN "LOCK OUT" SYSTEM UNTIL PARTS CAN BE REPLACED.
Description of Event or Problem
UNIT PLATFORM DROPPED AND PERSON INJURED. THE PLATFORM DROPPED DUE TO THE FAILURE OF THE DRIVE NUT AND SAFETY NUT. UNLESS TAMPERED WITH, IF THE DRIVE NUT FAILS THE SAFETY SWITCH IS ENGAGED TO PREVENT THE UNIT FROM RUNNING WHILE THE PLATFORM SECURELY RESTS ON THE SAFETY NUT.
Remedial action
- Replace