MalfunctionINY

MULTIMATE

Received Jan 14, 1997 · Event occurred Nov 29, 1996

Report MW1010556 · MDR key 61950

Device

Generic name

Manual Hospital Bed

Manufacturer

Simmons Healthcare, Inc.

Model number

Catalog number

Lot number

Product problems

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Patient

71 YR

Fall
Left Ventricular Failure

Narrative

Description of Event or Problem

RESIDENT WAS OBSERVED SITTING UP IN BED SHAKING SIDE RAIL THEN WAS ATTEMPTING TO CRAWL OVER SIDE RAIL. HAD SHAKEN THE LATCH ARM AND WHILE CLIMBING OVER SIDE RAIL THE SIDE RAIL GAVE WAY AND RESIDENT FELL TO FLOOR. SUSTAINED A LACERATION TO FOREHEAD. PT'S ARM WAS UNDER THE SIDE RAIL. SUTURES WERE DONE TO FOREHEAD. X-RAYS (L) FOREARM - NO TX NOTED; BRUISING ONLY.