It was reported to the manufacturer by the end user, per the end user, "facility was unable to provide the date and time of the occurrence, only that she had heard from another nurse that the patient had a fall at some point (she was not able to bring the other nurse to the phone).According to the facility, the mattress was set to be too firm, and this and the lack of bolsters on the mattress caused the patient to roll out of bed.No injuries occurred and she provided that because the bed is low to the ground and there are fall pads".(b)(4) were entered into our system to have the mattress and control unit returned to joerns for investigation.As of this writing, the mattress and control unit have not been returned.
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