FDA Adverse Event Death Summary report: N

500 LB SMART LIFT

MDR report key: 25173528 · Received May 14, 2026

Report

Report Number
2183887-2026-00007
Event Type
Death
Date Received
May 14, 2026
Date of Event
May 3, 2026
Report Date
May 14, 2026
Manufacturer
EZ WAY INC
Product Code
FSA
UDI-DI
00848914000040
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE FAMILY HAD A CAMERA TO RECORD INTERACTIONS WITH THE RESIDENT AND RECORDED THIS INCIDENT.

Description of Event or Problem · 0

CNA WAS ON EACH SIDE OF BED, HOOKING UP STRAPS TO THE LIFT. THE CNA ON THE SIDE OF THE BED WITH THE MACHINE HOOKED UP A LOOP TO THE LIFT AND MOVED TO THE OTHER SIDE OF THE BED. WHILE MOVING TO THE OTHER SIDE, THE CNA WAS PICKING THINGS UP AND MOVING THINGS AND ONE OF THE LEG LOOPS DID NOT GET HOOKED UP TO THE MACHINE. WHEN THE RESIDENT WAS LIFTED OFF THE BED, SHE SLID OUT OF THE SLING. THE RESIDENT DIED THE NEXT DAY. (B)(6) SAID THE LIFT WAS NOT AT FAULT AND THIS WAS USER ERROR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
49464 500 LB SMART LIFT LIFT FSA EZ WAY INC L500PN-03 00848914000040

Patients

Seq Age Sex Outcome Treatment
1 91 YR Female Death