BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EQ WAY LIFT

    MDR report key: 4120694 · Received August 25, 2014

    Report

    Report Number
    4120694
    Event Type
    Malfunction
    Date Received
    August 25, 2014
    Date of Event
    August 20, 2014
    Report Date
    August 25, 2014
    Manufacturer
    EZ WAY, INC.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NY, US

    Narratives

    Description of Event or Problem · 1

    EZ WAY CEILING LIFT TRACK DISLODGED ENOUGH TO PREVENT TRANSITION OF PATIENT SAFELY TO BED. PATIENT WEIGHT (B)(6). LIFT RATED FOR 650 POUNDS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    512260 EQ WAY LIFT LIFT,PATIENT,NON-AC-POWERED FSA EZ WAY, INC. CL650PM *

    Patients

    Seq Age Sex Outcome Treatment
    1 *