BEUDAMED
    FDA Adverse Event Death Summary report: N

    500 LB SMART LIFT WITH SCALE

    MDR report key: 20687878 · Received November 14, 2024

    Report

    Report Number
    2183887-2024-00006
    Event Type
    Death
    Date Received
    November 14, 2024
    Date of Event
    October 20, 2024
    Report Date
    November 14, 2024
    Manufacturer
    EZ WAY INC
    Product Code
    FSA
    UDI-DI
    00848914000057
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    DID IN-SERVICE WITH A NUMBER OF STAFF MEMBERS SHOWED THEM HOW TO MOVE EQUIPMENT SMOOTHLY, SO THEY ARE NOT SWINGING PEOPLE IN THE AIR.

    Description of Event or Problem · 0

    CUSTOMER STATED: 2 CNAS HOOKED UP THE RESIDENT IN THE SLING TO THE LIFT. 1 CNA WAS MANEUVERING THE LIFT DURING THE TRANSFER. THE 2ND CNA WAS GUIDING THE RESIDENT'S LEGS. THE CNAS LIFTED THE RESIDENT AND WERE GOING TO MOVE STRAIGHT BACK AND THEN MAKE A 90 DEGREE TURN. WHEN THE LIFT WAS PULLED STRAIGHT BACK FROM THE BED, THE RESIDENT WAS ADJUSTING HERSELF IN THE SLING AND FELL OUT OF THE SLING. THEY THINK THE RESIDENT FELL OUT SIDEWAYS, BUT THEY SAID BECAUSE IT HAPPENED SO FAST, THEY WEREN'T SURE. (B)(6) SAID ALL 4 LOOPS WERE STILL ON THE HANGER BARS AFTER THE INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2197444 500 LB SMART LIFT WITH SCALE LIFT FSA EZ WAY INC L500PS-03 00848914000057

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Female Life Threatening| H| D