BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 469926 · Received June 30, 2003

    Report

    Report Number
    2131358-2003-00007
    Event Type
    Malfunction
    Date Received
    June 30, 2003
    Date of Event
    April 18, 2003
    Report Date
    June 30, 2003
    Manufacturer
    BRUNO INDEPENDENT LIVING AIDS, INC.
    Product Code
    ILK
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    DETAILS OF INCIDENT ARE UNKNOWN AT THE TIME OF THIS REPORT. THE CUSTOMER WAS INJURED WHILE RIDING THEIR STAIRWAY ELEVATOR WHEN IT MALFUNCTIONED, ACCORDING TO ATTORNEY'S LETTER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * INCLINED STAIRWAY ELEVATOR ILK BRUNO INDEPENDENT LIVING AIDS, INC. SRE 1550 ELECTRA RIDE II *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Hospitalization