BEUDAMED
    FDA Adverse Event Other Summary report: N

    SMITH & DAVIS

    MDR report key: 104540 · Received July 7, 1997

    Report

    Report Number
    MW1011676
    Event Type
    Other
    Date Received
    July 7, 1997
    Date of Event
    June 26, 1997
    Report Date
    July 7, 1997
    Manufacturer
    SMITH & DAVIS MFG CO.
    Product Code
    FNJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICAL THERAPIST

    Narratives

    Description of Event or Problem · 1

    WHILE CRANKING THE BED DOWN THE CRANK CAME OUT & HIT THE PERSON CRANKING IN THE HEAD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SMITH & DAVIS HOSPITAL BED FNJ SMITH & DAVIS MFG CO. 5522 *

    Patients

    Seq Age Sex Outcome Treatment
    1 87 YR Other