inforMED
InjuryILM

SYSTEM 2000

Received Mar 28, 2014 · Event occurred Feb 27, 2014

Report 1419652-2014-00081 · MDR key 3738073

Device

Model number

AD33312US1011

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

55 YR

  • Fall
  • Bone Fracture(s)

Narrative

Description of Event or Problem

INITIALLY IT WAS REPORTED BY ARJOHUNTLEIGH REP THAT AFTER BATHING THE RESIDENT, STAFF MEMBER GOT HER FOOT CAUGHT ON SHOWER HOSE THAT WAS LYING ON THE FLOOR, TRIPPED AND FELL AGAINST THE WALL. FROM THE INFO RECEIVED CAREGIVER FRACTURED HIS WRIST AS A RESULT OF THIS INCIDENT. REF MFR NUMBER 9611530-2014-00022.