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 |