APOLLO WHIRLPOOL BATH

Additional Manufacturer Narrative

THROUGH INSPECTING THE DEVICE IT WAS DETERMINED THAT THE INCIDENT WAS CAUSED BY THE CARRIER BASE BEING OUT OF ADJUSTMENT. THE PIN RETAINER DROPPED DOWN BELOW ITS RECOMMENDED HEIGHT, PREVENTING THE UNIT FROM LATCHING PROPERLY. IT WAS NOTED THAT THE DOCKING PIN RETAINER, ONE LOAD CELL, AND 3 OF THE CASTERS WERE ALL LOOSE ON THE UNIT. THE LOOSENING OF THE PIN RETAINER IS LIKELY WHAT LED TO IT FALLING OUT OF ADJUSTMENT. ALL COMPONENTS WERE TIGHTENED AND BROUGHT BACK INTO ADJUSTMENT BY AN APOLLO REPRESENTATIVE. THE REPRESENTATIVE DISCUSSED PLANNED MAINTENANCE REQUIREMENTS WITH THE FACILITY'S MAINTENANCE AND ADMINISTRATION PERSONNEL TO PREVENT REOCCURRENCE OF THIS EVENT.

Description of Event or Problem

BATH AIDE WAS PREPARING TO GIVE RESIDENT A BATH. AS THE RESIDENT WAS BEING TRANSFERRED INTO TUB, THE SCALE BASE SEPARATED FROM THE BATH TUB AND THE RESIDENT AND CHAIR FELL BETWEEN THE SCALE BASE AND THE TUB. THE RESIDENT HIT THEIR HEAD ON SIDE OF TUB DURING THE FALL, CAUSING A CONTUSION AND 3 SMALL ABRASIONS ON HEAD.