InjuryIOE
UNABLE TO DETERMINE
Received Jun 10, 2005 · Event occurred May 10, 2005
Report 5479696 · MDR key 5479696
Device
Generic name
Parallel Bars
Product problems
- Device Slipped
Patient
82 YR
- Fall
- Head Injury
Narrative
Description of Event or Problem
RESIDENT WAS WORKING AT THE PARALLEL BARS WHEN THE BAR ON THE LEFT SLID INWARD CAUSING HER TO FALL. THE RESIDENT STRUCK THE BACK OF HER HEAD ON THE OTHER BAR. NO INJURY RESULTED. THE SCREW HOLDING THE BAR AT THE JOINT HAD COME LOOSE. SHE HAD BEEN WORKING AT THE BARS FOR APPROX. 10 MINUTES WHEN THE BAR SLID. MAINTENANCE DEPT SECURED BARS - ADDITIONAL SAFETY SCREWS ADDED.