BEUDAMED
    FDA Adverse Event Death Summary report: N

    BRUNO INDEPENDENT LIVING AIDS, INC.

    MDR report key: 10660072 · Received October 11, 2020

    Report

    Report Number
    2131358-2019-00001
    Event Type
    Death
    Date Received
    October 11, 2020
    Date of Event
    December 27, 2018
    Report Date
    August 11, 2020
    Manufacturer
    BRUNO INDEPENDENT LIVING AIDS, INC.
    Product Code
    ING
    PMA / PMN Number
    K061514
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NE, US
    Reporter Occupation
    003

    Narratives

    Description of Event or Problem · 1

    WOMAN WAS IN HER WHEELCHAIR AND RIDING THE LIFT FROM THE BOTTOM LANDING. FAMILY MEMBER WAS RAISING LIFT FROM TOP LANDING CONTROL. SHE FELL OUT OF HER WHEELCHAIR AND WAS PINNED BETWEEN THE HOISTWAY WALL AND LIFT IN THE AREA OF THE TOP LANDING SILL. THE PERSON RAISING THE LIFT CONTINUED TO RAISE PLATFORM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1124956 BRUNO INDEPENDENT LIVING AIDS, INC. VERTICAL PLATFORM LIFT ING BRUNO INDEPENDENT LIVING AIDS, INC. VPL-3210B

    Patients

    Seq Age Sex Outcome Treatment
    1 26 YR Death