FDA Adverse Event
Injury
Summary report: N
7688 L A
MDR report key: 177494
·
Received July 14, 1998
Report
- Report Number
- 2183897-1998-00002
- Event Type
- Injury
- Date Received
- July 14, 1998
- Date of Event
- June 23, 1998
- Report Date
- July 14, 1998
- Manufacturer
- CROW RIVER INDUSTRIES, INC.
- Product Code
- ING
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
REPORT OF ALLEGED "PT INJURED WHILE USING A CROW RIVER LIFT." USER WAS TRYING TO UNFOLD THE PLATFORM OF THE LIFT, WHEN IT ALLEGEDLY DEPLOYED RAPIDLY & STRUCK HER IN THE HEAD. USER RECEIVED FIVE STITCHES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 7688 L A | AUTOMATIC VAN LIFT | ING | CROW RIVER INDUSTRIES, INC. | 7688 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Hospitalization| O |