BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EZ WAY INC.

    MDR report key: 5367464 · Received March 2, 2005

    Report

    Report Number
    5367464
    Event Type
    Injury
    Date Received
    March 2, 2005
    Date of Event
    February 7, 2005
    Report Date
    February 15, 2005
    Manufacturer
    EZWAY INC
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    NE, US
    Reporter Occupation
    0

    Narratives

    Description of Event or Problem · 1

    WENT TO LIFT RESIDENT FROM BED TO WHEELCHAIR E-ZEE TOTAL LIFT USING MULTI PURPOSE SLING. RESIDENT WAS LIFTED IN SLING WHEN CAREGIVER NOTICED RESIDENT WAS INCONTINENT, THEREFORE LOWERED RESIDENT BACK ONTO BED AND DID RESIDENT CARES. BECAUSE LIFT SLING WAS SOILED A CHUCK WAS PLACED BETWEEN RESIDENT AND SLING TO KEEP RESIDENT DRY. CARE GIVERS STATED THAT THE WET SLING AND THE USE OF THE CHUCK CAUSED THE RESIDENT TO SLIDE OUT OF THE LIFT SLING. THERE WERE THREE CAREGIVERS IN ROOM DURING THE TRANSFER OF THE RESIDENT. ONCE CAREGIVER NOTICED THAT RESIDENT WAS GOING TO FALL FROM SLING AND TWO EMPLOYEES CAUGHT FRONT OF RESIDENT AND KEPT RESIDENT FROM FALLING FORWARD AFTER RESIDENT LEGS WERE UNDER HIM ON FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EZ WAY INC. TOTAL LIFT FNG EZWAY INC 796

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Hospitalization