BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EZ WAY SMART LIFT

    MDR report key: 19627626 · Received June 27, 2024

    Report

    Report Number
    2183887-2024-00002
    Event Type
    Injury
    Date Received
    June 27, 2024
    Date of Event
    November 25, 2023
    Report Date
    June 26, 2024
    Manufacturer
    EZ WAY, INC
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ND, US
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    THE SLING WAS ALREADY UNDER RESIDENT IN WHEELCHAIR. CNAS HOOKED UP SLING TO LIFT AND LIFTED HER UP, CLOSE TO THE BED. THE RESIDENT FLAILED AND STIFFENED HER BODY. 1 CNA TURNED TO GET SOMETHING, AND THE BOTTOM STRAP FROM SLING CAME OFF THE SLING HANGER. THE LIFT DID NOT TIP. RESIDENT SLID OUT OF SLING, FELL ONTO FLOOR, AND HIT HER HEAD AND SHOULDER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    786685 EZ WAY SMART LIFT LIFT FSA EZ WAY, INC

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Female Life Threatening| R