Free replacement

You used your LifeWand.
We'll replace it — free.

Complete the short report below. It takes about 3 minutes and goes directly into our clinical safety program. Your replacement will be arranged by our team.

Step 1 of 4

The incident

Tell us about the choking event.

Q1. What was the position of the choking victim? *

Standing

Sitting

Lying down

Unknown

Q2. What caused the airway obstruction? *

Solid food

Liquid

Non-food object

Other

Q3. Consistency / type of obstruction *

Soft

Hard

Sticky

Unknown

Please answer all required questions before continuing.

Using the device

What happened when you used LifeWand?

Q4. Were there any difficulties using the device? *

No difficulty

Difficulty cocking (compressing) the device

Physical difficulty activating the trigger

Difficulty achieving airtight seal

Mask fit issue (facial hair, secretions, etc.)

Device issue (assembly/disconnection)

User error — device did not function due to incorrect operation

Patient movement / panic

Other

Q5. Was the obstruction successfully removed using LifeWand? *

Yes

Q6. Number of LifeWand attempts required *

Q7. How long did it take to relieve the obstruction after using LifeWand? *

<1 min

1–4 min

>4 min

Not resolved

Unknown

Please answer all required questions before continuing.

Outcome & safety

This information goes directly into our clinical safety program.

Q8. Was LifeWand the final successful intervention? *

Yes

Q9. What resolved the obstruction?

Another maneuver

Emergency services

Other

Q10. Were there any adverse events? *

None

Minor perioral bruising / soft-tissue contusion

Contusion or pressure marks on the nasal bridge

Minor lip lacerations / irritation

Dental discomfort / tooth injury

Temporary skin redness / irritation at mask contact area

Temporary facial discomfort due to suction forces

Other

Please answer all required questions before continuing.

Your experience

Rate your experience — 1 is worst, 10 is best.

Q11. Ease of use

Very difficultEffortless

Q12. Confidence using LifeWand

Not confidentVery confident

Q13. Clarity of instructions

Very unclearPerfectly clear

Delivery details *

So we can send your replacement device.

Q14. Consent *

Your report will be stored securely by Extralife Ltd. and used for product improvement and regulatory compliance. Reports describing serious adverse events may be shared with health authorities as required by law.

I confirm I used this device in an actual choking emergency and consent to the above.

Please fill in all delivery details and confirm your consent.

✓

Report received.

We'll ship your replacement device to the address you provided. Thank you for helping us make LifeWand safer for everyone.

Optional — takes 2 more minutes

Part 2 — Additional details

Everything below is optional. The more you share, the richer our clinical dataset becomes.

Q15. Who operated the LifeWand?

Self-administration

Layperson

Caregiver

Medical professional

Q16. Gender of the operator

Male

Female

Other

Prefer not to say

Q17. What interventions were attempted before LifeWand?

None — LifeWand was first

Back blows

Abdominal thrusts (Heimlich)

Chest thrusts

Chest compressions

Other

Q18. Compared to traditional methods, LifeWand was:

Easier

About the same

Harder

Haven't used the others

Q19. Would you use LifeWand again?

Yes

Not sure

Q20. Where did the incident occur?

Home

Restaurant

Daycare / School

Care facility

Public place

Other

Q21. Age of the choking victim

Q22. Gender of the choking victim

Male

Female

Other

Prefer not to say

Q23. Relevant conditions of the victim (if known)

None

Elderly frailty

Neurological condition

Swallowing disorder

Other

Q24. Did the patient require hospitalization?

Yes

Q25. In your own words, what happened?

Q26. Can we share your experience publicly?

Yes, with my name

Yes, anonymously

Q27. Your email

You used your LifeWand.We'll replace it — free.

Report received.

Part 2 — Additional details

You used your LifeWand.
We'll replace it — free.