BEUDAMED
    FDA Adverse Event Other Summary report: N

    BENCHMARK WOODWORKS CO

    MDR report key: 999887 · Received February 12, 2008

    Report

    Report Number
    MW5005508
    Event Type
    Other
    Date Received
    February 12, 2008
    Date of Event
    February 1, 2008
    Report Date
    February 12, 2008
    Manufacturer
    HOMEWOOD HEALTH CARE/ UNITED MEDICAL PRODUCTS LLC
    Product Code
    NZG
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    WOODEN ROLLING BASSINET CART WITH 2 SLIDE OUT DRAWERS PARTIALLY OPENED UPON TRANSPORTING THE BABY DOWN THE HALL, TIPPED OVER CAUSING BABY TO FALL TO THE FLOOR, UPON STOPPING TO RETRIEVE SOMETHING ELSE. THE CART WAS NOT BEING MOVED OR TOUCHED AT THE TIME OF THE EVENT; APPARENTLY THE WHEELS WERE IN CORRECT ALIGNMENT SO THAT LEAVING IT UNATTENDED MOMENTARILY RESULTED IN THE IMBALANCE OF THE CART AND RESULTED IN THE TIPPING BABY OUT ON THE FLOOR. BABY HAD CT AND X-RAYS NOTED, NO INJURIES OR FRACTURES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BENCHMARK WOODWORKS CO BASSINET 31" NZG HOMEWOOD HEALTH CARE/ UNITED MEDICAL PRODUCTS LLC 731018 *

    Patients

    Seq Age Sex Outcome Treatment
    1 1 DA Other