MalfunctionING
9684
Received Oct 22, 1998
Report 2183897-1998-00004 · MDR key 193516
Device
Generic name
Automatic Van Lift
Manufacturer
Crow River Industries, Inc.Model number
9684Catalog number
NA
Lot number
NA
Product problems
- Unintended System Motion
Patient
UNKNOWN
- Fall
- Injury
- Therapy/non-surgical treatment, additional
Narrative
Description of Event or Problem
REPORT OF ALLEGED "PT INJURED WHILE USING A CROW RIVER LIFT." PT ALLEGEDLY FELL OFF HIS LIFT, AND SUSTAINED INJURIES TO THE FACE AND SHOULDER. PT ALLEGES THAT THE PLATFORM TILTED DOWN WHICH CAUSED THE WHEELCHAIR AND HIMSELF TO ROLL OFF AND FALL TO THE GROUND. PT DID HAVE X-RAYS AFTER THE ACCIDENT, BUT DID NOT RECEIVE ANY BROKEN BONES. HE HAS NOT BEEN BACK TO THE DR SINCE THE INCIDENT.
Remedial action
- Replace