InjuryING
9684 PF
Received Jul 24, 1997
Report 2183897-1997-00006 · MDR key 108644
Device
Generic name
Automatic Van Lift
Manufacturer
Nellcor Puritan BennettModel number
9684 PFCatalog number
NA
Lot number
NA
Patient
*
- Bleeding
Narrative
Description of Event or Problem
REPORT FROM DEALER THAT END USER WAS GETTING THE MAIL. THE VAN WAS LEANING TOWARD THE DRIVERS SIDE BECAUSE HE WAS PARKED IN THE DITCH SLIGHTLY. WHEN HE WAS BACKING INTO HIS VAN HE WAS LEANING BACKWARDS ALREADY. HE THEN FORCED HIMSELF OVER THE END BARRIER AND TIPPED BACKWARDS. HE WENT TO THE HOSP FOR A HEAD INJURY AND BURNS.