FDA Adverse Event Injury Summary report: N

ELECTRIC LIFT

MDR report key: 171183 · Received June 8, 1998

Report

Report Number
MW1013921
Event Type
Injury
Date Received
June 8, 1998
Date of Event
May 29, 1998
Report Date
June 8, 1998
Manufacturer
PENOX TECHNOLOGIES, INC.
Product Code
FNG
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
OH, US
Reporter Occupation
PATIENT FAMILY MEMBER OR FRIEND

Narratives

Description of Event or Problem · 1

HAND CONTROL SHORTED OUT CAUSING THE USER'S CLOTHES TO CATCH ON FIRE. USER HAD 1ST AND 2ND DEGREE BURNS WHICH WERE TREATED WITH CREAM BY THE HOSPICE NURSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ELECTRIC LIFT ELECTRIC LIFT FNG PENOX TECHNOLOGIES, INC. JA1001BB UNK

Patients

Seq Age Sex Outcome Treatment
1 76 YR