FDA Adverse Event
Death
Summary report: N
500 LB PREMIER LIFT WITHOUT SCALE
MDR report key: 25203772
·
Received May 18, 2026
Report
- Report Number
- 2183887-2026-00008
- Event Type
- Death
- Date Received
- May 18, 2026
- Date of Event
- May 8, 2026
- Report Date
- May 18, 2026
- Manufacturer
- EZ WAY INC
- Product Code
- FSA
- UDI-DI
- 00848914000040
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NE, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
STAFF WAS GOING FROM BED TO WHEELCHAIR. THEY HAD A SIDE ENTRANCE AND THE LIFT TIPPED DURING PROCESS. THE RESIDENT FELL ON FLOOR STILL IN THE SLING. THEY HAD TO UNHOOK THE SLING TO GET RESIDENT OUT AND BACK UP. THE RESIDENT BROKE HER HIP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 240286 | 500 LB PREMIER LIFT WITHOUT SCALE | LIFT | FSA | EZ WAY INC | 798 | 00848914000040 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 81 YR | Female | Death |