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 |