BEUDAMED
    FDA Adverse Event Injury Summary report: N

    THYSSENKRUPP ACCESS (WHEEL-O-VATOR)

    MDR report key: 2781974 · Received September 14, 2012

    Report

    Report Number
    1422384-2012-00001
    Event Type
    Injury
    Date Received
    September 14, 2012
    Date of Event
    July 1, 2012
    Report Date
    September 13, 2012
    Manufacturer
    THYSSENKRUPP ACCESS
    Product Code
    ING
    PMA / PMN Number
    K934553
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    BASED ON INFO PROVIDED, TWO INDIVIDUALS ENTERED THE VERTICAL PLATFORM LIFT. THE LIFT FELL INJURING BOTH INDIVIDUALS IN THE LIFT, REQUIRING MEDICAL TREATMENT. INVESTIGATION IS ONGOING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 THYSSENKRUPP ACCESS (WHEEL-O-VATOR) WHEELCHAIR ELEVATOR 890.3930 ING THYSSENKRUPP ACCESS BC-72

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization