BEUDAMED
    FDA Adverse Event Other Summary report: N

    SIMMONS MULTIMATE BED

    MDR report key: 35666 · Received July 12, 1996

    Report

    Report Number
    35666
    Event Type
    Other
    Date Received
    July 12, 1996
    Date of Event
    March 29, 1996
    Report Date
    April 2, 1996
    Manufacturer
    SIMMONS HEALTHCARE CORP.
    Product Code
    FNJ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    WV, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT WAS FOUND ON FLOOR TO LEFT OF BED. LACERATION PRESENT AT RIGHT EYEBROW AREA. LEFT SIDE RAIL WAS DOWN. STAFF CANNOT ASCERTAIN THAT BED RAIL WAS IN THE UP POSITION JUST PRIOR TO THE FALL. UPON INSPECTION, THE LOCK ROD SPRING AND KNOB ASSEMBLY WAS INSTALLED INCORRECTLY WITH THE KNOB TOWARD THE INSIDE OF THE SIDE RAIL. THIS RESULTED IN A FALSE LOCK CONDITION, IF THE RAIL WAS RAISED GENTLY UNTIL A "CLICK" WAS HEARD. IN THE FALSE LOCK CONDITION, PRESSURE TO THE TOP OF THE RAIL CAUSED THE RAIL TO DROP DOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIMMONS MULTIMATE BED BED FNJ SIMMONS HEALTHCARE CORP. 3.1 L-531-362 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 95 YR Other