FDA Adverse Event
Injury
Summary report: N
BRUNO ELECTRA-RICE II
MDR report key: 2171401
·
Received February 12, 2007
Report
- Report Number
- 2131358-2007-00011
- Event Type
- Injury
- Date Received
- February 12, 2007
- Date of Event
- December 11, 2006
- Report Date
- January 11, 2007
- Manufacturer
- BRUNO INDEPENDENT LIVING AIDS
- Product Code
- ILK
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- ATTORNEY
Narratives
Additional Manufacturer Narrative · 1
AS OF THE DATE OF THIS SUBMISSION, NO EVALUATION HAS BEEN DONE DUE TO POSSIBLE LITIGATION.
Description of Event or Problem · 1
PATIENT SUSTAINED SERIOUS INJURIES WHEN THE ARM OF HER ELECTRA-RIDE II STRAIGHT-RAIL STAIRLIFT BROKE AWAY AS SHE WAS BEING CARRIED UP THE STAIRS AT HER RESIDENCE, CAUSING HER TO FALL DOWN THE STAIRS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BRUNO ELECTRA-RICE II | INCLINED STAIRWAY ELEVATOR | ILK | BRUNO INDEPENDENT LIVING AIDS | SRE-1550 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 75 YR | Hospitalization |