inforMED
InjuryKNL

RIFTON DYNAMIC STANDER

Received Apr 10, 2012 · Event occurred Mar 9, 2012

Report 1319558-2012-00001 · MDR key 2538218

Device

Generic name

Knl - Board, Scooter, Prone

Manufacturer

Rifton Equipment

Model number

K15

Catalog number

K15

Lot number

K1519990821AB

Product problems

  • Detachment Of Device Component
  • Component Falling

Patient

UNK

  • Fracture, Arm

Narrative

Description of Event or Problem

WE UNDERSTAND THAT A STRUCTURAL COMPONENT OF THE STANDER FAILED, ALLOWING THE BODY SUPPORT MECHANISM TO SEPARATE FROM THE FRAME OF THE STANDER. THIS APPARENTLY CAUSED THE USER OF THE DEVICE TO FALL AND SUSTAIN A SLIGHT FRACTURE OF HER LEFT ARM.

Additional Manufacturer Narrative

THE DEVICE IN QUESTION IS NEARLY 13 YEARS OLD AND HAD CHANGED HANDS AT LEAST ONCE. IT APPEARS TO HAVE BEEN POORLY MAINTAINED AND IN BAD REPAIR PRIOR TO THE INCIDENT. PRELIMINARY ANALYSIS SUGGESTS THAT THERE WOULD LIKELY HAVE BEEN VISIBLE CRACKING OF THE PART WELL BEFORE THE ALLEGED FAILURE THAT RESULTED IN THIS INCIDENT. SUCH CRACKING WOULD BE OBVIOUS TO A USER COMPLYING WITH THE INSTRUCTION IN THE DEVICE MANUAL TO PERIODICALLY INSPECT THE DEVICE FOR CRACKS. IT IS POSSIBLE THAT THE DEVICE WAS USED TO A MANNER FOR WHICH IT WAS NOT INTENDED. THE PRODUCT MANUAL INSTRUCTIONS SAY: "PERIODICALLY INSPECT FOR CRACKS, BREAKS, LOOSE OR MISSING PARTS, AND/OR MALFUNCTIONS. REMOVE THE PRODUCT FROM SERVICE WHEN ANY CONDITION DEVELOPS THAT MIGHT MAKE OPERATION UNSAFE."

Remedial action

  • Replace