BRUNO INDEPENDENT LIVING AIDS, INC.
Received Jan 13, 2022 · Event occurred Dec 14, 2021
Report 2131358-2022-00001 · MDR key 13254249
Device
Generic name
Vertical Platform Lift
Manufacturer
Bruno Independent Living Aids, Inc.Model number
VPL-3214BProduct problems
- Device Slipped
Patient
72 YR · Male
- Crushing Injury
- Crushing Injury
Narrative
Additional Manufacturer Narrative
CURRENT DEALER INFORMED BRUNO ON 12-15-2021. DEALER REPORTED THAT THEY HAD BEEN ON SITE ON 12-01-2021, TO REPLACE DRIVE COMPONENTS OF THE UNIT AND PERFORM MAINTENANCE. THEIR RECORDS INDICATED THERE WAS A SERVICE CALL 10/11/21 TO LOOK AT DRIVE TRAIN. THE CURRENT DEALER INFORMED US THAT END USER HAD A DIFFERENT DEALER ON SITE IN MARCH OR APRIL OF 2021. THE ORIGINAL DEALER THAT INSTALLED THE UNIT IS DIFFERENT FROM EITHER OF THE TWO ABOVE DEALERS. BRUNO CONTACTED THE DEALER ON 12-15-2021 AND SENT CHIEF ENGINEER FOR THE PRODUCT LINE TO CONDUCT ON-SITE FOR INSPECTION. THIS INSPECTION WAS DELAYED AT END USER'S REQUEST TO JANUARY. THE INITIAL ANALYSIS INDICATES THAT THE MAIN DRIVE NUT WORE TO FAILURE CAUSING THE PLATFORM TO FALL ON THE SAFETY NUT, AS INTENDED. THE SAFETY SWITCH HOWEVER DID NOT ENGAGE AND THUS ALLOWED THE UNIT TO RIDE ON SAFETY NUT. THE SAFETY NUT THEN FAILED CAUSING THE UNIT TO FAIL. ADDITIONAL INVESTIGATION IS BEING CONDUCTED TO DETERMINE WHAT MAY HAVE PREVENTED THE SAFETY SWITCH FROM BEING ACTIVATED.
Description of Event or Problem
THE EVENT WAS DESCRIBED TO THE MANUFACTURER THIRD HAND. END USER HAS A VPL-3214B UNIT INSTALLED WITH AN UNENCLOSED EXTERIOR APPLICATION IN A COASTAL REGION SETTING. ON (B)(6)2021, THE HUSBAND WAS OPERATING THE UNIT, STANDING ON THE PLATFORM, WHILE IT DESCENDED. IT WAS REPORTED THAT THE UNIT DROPPED WITHOUT NOTICE, INJURING HIS ANKLE. WIFE DROVE HIM TO THE HOSPITAL.
Additional Manufacturer Narrative
CURRENT DEALER INFORMED BRUNO ON 12-15-2021. DEALER REPORTED THAT THEY HAD BEEN ON SITE ON 12-01-2021, TO REPLACE DRIVE COMPONENTS OF THE UNIT AND PERFORM MAINTENANCE. THEIR RECORDS INDICATED THERE WAS A SERVICE CALL 10/11/2021 TO LOOK AT DRIVE TRAIN. THE CURRENT DEALER INFORMED US THAT END USER HAD A DIFFERENT DEALER ON SITE IN MARCH OR APRIL OF 2021. THE ORIGINAL DEALER THAT INSTALLED THE UNIT IS DIFFERENT FROM EITHER OF THE TWO ABOVE DEALERS. BRUNO CONTACTED THE DEALER ON 12-15-2021 AND SENT CHIEF ENGINEER FOR THE PRODUCT LINE TO CONDUCT ON-SITE FOR INSPECTION. THIS INSPECTION WAS DELAYED AT END USER'S REQUEST TO JANUARY. THE INITIAL ANALYSIS INDICATES THAT THE MAIN DRIVE NUT WORE TO FAILURE CAUSING THE PLATFORM TO FALL ON THE SAFETY NUT, AS INTENDED. THE SAFETY SWITCH HOWEVER DID NOT ENGAGE AND THUS ALLOWED THE UNIT TO RIDE ON SAFETY NUT. THE SAFETY NUT THEN FAILED CAUSING THE UNIT TO FAIL. ADDITIONAL INVESTIGATION IS BEING CONDUCTED TO DETERMINE WHAT MAY HAVE PREVENTED THE SAFETY SWITCH FROM BEING ACTIVATED.
Description of Event or Problem
THE EVENT WAS DESCRIBED TO THE MANUFACTURER THIRD HAND. END USER HAS A VPL-3214B UNIT INSTALLED WITH AN UNENCLOSED EXTERIOR APPLICATION IN A COASTAL REGION SETTING. ON (B)(6)2021, THE HUSBAND WAS OPERATING THE UNIT, STANDING ON THE PLATFORM, WHILE IT DESCENDED. IT WAS REPORTED THAT THE UNIT DROPPED WITHOUT NOTICE, INJURING HIS ANKLE. WIFE DROVE HIM TO THE HOSPITAL.
Remedial action
- Inspection
- Repair