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