BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EZ-WAY STAND LIFT

    MDR report key: 3803037 · Received May 5, 2014

    Report

    Report Number
    MW5035962
    Event Type
    Injury
    Date Received
    May 5, 2014
    Date of Event
    April 27, 2014
    Report Date
    April 29, 2014
    Manufacturer
    EZ WAY LIFT
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    EZ-LIFT ACTUATOR BROKE INVOLVING RESIDENT TO FALL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    267869 EZ-WAY STAND LIFT STAND LIFT FSA EZ WAY LIFT 898

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR