inforMED
InjuryING

9684 VANGATER II LIFT

Received Mar 7, 1997 · Event occurred Jan 11, 1997

Report 2183897-1997-00003 · MDR key 75621

Device

Generic name

Automatic Van Lift

Model number

9684

Catalog number

NA

Lot number

NA

Patient

UNKNOWN

Narrative

Description of Event or Problem

WHEN USER WAS ON LIFT, INSIDE VEHICLE AND STARTING THE SLOW-FUNCTION, USER REPORTEDLY BROKE HIS LEG. USER WAS TRANSPORTED TO HOSP AND LATER RELEASED AND IS CURRENTLY USING THE LIFT. UNABLE TO DETERMINE HOW INJURY TO USER OCCURRED.

Additional Manufacturer Narrative

H3) TESTING BY MFR FOUND A BROKEN DOWN-STOP WIRE. THE DOWN-STOP WIRE WAS REPAIRED. THE BROKEN DOWN-STOP WIRE COULD NOT HAVE CONTRIBUTED TO THE LIFT'S INADVERTENT OPERATION. H6) ADJUSTED CODES.

Remedial action

  • Other