BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EZ LIFT

    MDR report key: 1224534 · Received November 7, 2008

    Report

    Report Number
    2183887-2008-00003
    Event Type
    Injury
    Date Received
    November 7, 2008
    Date of Event
    September 6, 2008
    Report Date
    November 7, 2008
    Manufacturer
    EZ WAY, INC.
    Product Code
    FNG
    PMA / PMN Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    AN EZ WAY REPRESENTATIVE PERFORMED EXTENSIVE INSERVICING WITH FACILITY STAFF, PROVIDED ADDITIONAL TRAINING MATERIALS, AND STRESSED THE IMPORTANCE OF PROPER SLING APPLICATION.

    Description of Event or Problem · 1

    A RESIDENT WAS BEING TRANSFERRED FROM A BED TO A WHEELCHAIR IN AN EZ LIFT, AND SLID OUT OF THE SLING ONTO THEIR KNEES, BREAKING BOTH FEMURS. THE SLING WAS NOT HOOKED TO THE LIFE APPROPRIATELY. THE FACILITY ACKNOWLEDGED THAT THE SLING WAS POSITIONED INCORRECTLY ON THE RESIDENT. EZ WAY WAS NOTIFIED ON 10/08/2008 OF THE INCIDENT, AND SCHEDULED A VISIT TO THE FACILITY TO INVESTIGATE AND TRAIN FACILITY STAFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EZ LIFT PATIENT LIFT FNG EZ WAY, INC. UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Required Intervention