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 |