(S (S (NP (BASENP (DT A) (JJ 54-year-old) (JJ German) (NN farmer)) (SBAR (WHNP (WP who)) (S (VP (VP (VP (VBD lost) (BASENP (DT both) (NNS arms))) (PP (IN in) (BASENP (DT a) (NN farming) (NN accident)))) (ADVP (BASENP (NN six) (NNS years)) (RB ago)))))) (VP (VBZ has) (VP (VBN become) (NP (BASENP (DT the) (JJ first) (NN patient)) (SBAR (S (VP (TO to) (VP (VB receive) (BASENP (DT a) (JJ complete) (JJ double) (NN arm) (NN transplant)))))))))) (PERIOD .))