BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EZ WAY SMART LIFT

    MDR report key: 17240080 · Received June 29, 2023

    Report

    Report Number
    MW5119032
    Event Type
    Injury
    Date Received
    June 29, 2023
    Date of Event
    June 20, 2023
    Report Date
    June 27, 2023
    Manufacturer
    EZ WAY, INC.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IA, US
    Reporter Occupation
    501
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    EZ WAY SMART LIFT RATED FOR 500 LBS. FAILED WHEN THE ACTUATOR GAVE OUT WHILE THE LIFT WAS ENGAGED TO LIFT THE RESIDENT. RESIDENT FELL TO THE FLOOR, FALLING APPROXIMATELY 4 FEET. NO MAJOR INJURY DETERMINED FROM THE FALL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1207764 EZ WAY SMART LIFT LIFT, PATIENT, NON-AC-POWERED FSA EZ WAY, INC. L500PS

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Male Required Intervention