MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2012-09-14 for THYSSENKRUPP ACCESS (WHEEL-O-VATOR) BC-72 manufactured by Thyssenkrupp Access.
[3065893]
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.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1422384-2012-00001 |
| MDR Report Key | 2781974 |
| Report Source | 07 |
| Date Received | 2012-09-14 |
| Date of Report | 2012-09-13 |
| Date of Event | 2012-07-01 |
| Date Mfgr Received | 2012-08-17 |
| Device Manufacturer Date | 2006-08-02 |
| Date Added to Maude | 2012-10-12 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Street | 509 WEST FRONT ST. |
| Manufacturer City | ROANOKE IL 61561 |
| Manufacturer Country | US |
| Manufacturer Postal | 61561 |
| Manufacturer Phone | 8169654712 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | THYSSENKRUPP ACCESS (WHEEL-O-VATOR) |
| Generic Name | WHEELCHAIR ELEVATOR 890.3930 |
| Product Code | ING |
| Date Received | 2012-09-14 |
| Model Number | BC-72 |
| Operator | LAY USER/PATIENT |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | THYSSENKRUPP ACCESS |
| Manufacturer Address | 509 WEST FRONT ST ROANOKE IL 61561 US 61561 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Hospitalization | 2012-09-14 |