OtherING

CAM LOK

Received Jan 6, 1994 · Event occurred Aug 2, 1993

Report MW1000312 · MDR key 10841

Device

Manufacturer

The Braun Corp.

Model number

15683

Product problems

Disconnection
Mechanical Problem
Material Separation

Patient

31 YR

Bone Fracture(s)

Narrative

Description of Event or Problem

WHEELCHAIR TIED DOWN (IN VAN) CAME OUT OF METAL LOCK AND STRAP WAS RELEASED FROM CLIP. WHEELCHAIR TIPPED WITH RESIDENT SUSTAINING AN INJURY TO RIGHT SIDE.