BEUDAMED
    FDA Adverse Event Death Summary report: N

    EZ WAY SMART LIFT

    MDR report key: 8094568 · Received November 20, 2018

    Report

    Report Number
    MW5081516
    Event Type
    Death
    Date Received
    November 20, 2018
    Date of Event
    October 23, 2018
    Report Date
    November 12, 2018
    Manufacturer
    EZ WAY INC.
    Product Code
    FSA
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    SD, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    PT WAS BEING TRANSFERRED IN THE HOYER LIFT. SHE LEANED TO HER RIGHT QUICKLY AND LOOKED AT THE FLOOR AND FELL OUT OF THE SLING ON THE RIGHT SIDE. RESIDENT HAD BEEN TRANSFERRED HUNDREDS OF TIMES IN THIS MANNER, WITH THE SAME SLING AND CONSISTENT STAFF AND NEVER HAD THIS UNEXPECTED MOVEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    932916 EZ WAY SMART LIFT LIFT, PATIENT, NON-AC POWERED FSA EZ WAY INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Death