MalfunctionIKW

AMERICAN STANDARD

Received Jun 4, 2001 · Event occurred May 24, 2001

Report MW1022102 · MDR key 336579

Device

Generic name

Toilet

Manufacturer

Model number

Catalog number

Lot number

Product problems

Device Tipped Over

Patient

71 YR

Fall

Narrative

Description of Event or Problem

RESIDENT ON TOILET. FOUND RESIDENT ON FLOOR AND TOILET LAYING SIDEWAYS ON FLOOR. RESIDENT SITTING ON TOILET THEN FOUND ON FLOOR BY CNA. TOILET OVERTURNED. RESIDENT DENIED ANY INJURY.