FDA Adverse Event Injury Summary report: N

EZ WAY SIT TO STAND

MDR report key: 15079355 · Received July 20, 2022

Report

Report Number
MW5111038
Event Type
Injury
Date Received
July 20, 2022
Date of Event
July 17, 2022
Report Date
July 19, 2022
Manufacturer
EZ WAY, INC.
Product Code
FSA
Adverse Event
Yes
Report Source
Voluntary report
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Description of Event or Problem · 0

RESIDENT FELL OUT OF SLING/LIFT CAUSING HEMATOMA. FDA SAFETY REPORT ID # (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
88504 EZ WAY SIT TO STAND LIFT, PATIENT, NON-AC-POWERED FSA EZ WAY, INC.

Patients

Seq Age Sex Outcome Treatment
1 69 YR Female Other