FDA Adverse Event
Death
Summary report: N
LIFT
MDR report key: 22923434
·
Received August 29, 2025
Report
- Report Number
- 2183887-2025-00005
- Event Type
- Death
- Date Received
- August 29, 2025
- Report Date
- August 29, 2025
- Manufacturer
- EZ WAY INC
- Product Code
- FSA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WI, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
EZ WAY RECEIVED THIS INFORMATION FROM A LAWYER REPRESENTING THE FAMILY.
Description of Event or Problem · 0
RESIDENT FELL OUT OF SLING. SLING WAS NOT HOOKED UP PROPERLY. RESIDENT SUSTAINED L5 AND L7 FRACTURE ALONG WITH A BAD HEAD BRUISE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2164244 | LIFT | FSA | EZ WAY INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Death |