D
Patient 1
OPERATION ROOM BED CAUSED SHIFTING OF BED DURING PROCEDURE WITH SUDDEN MOVEMENT OF PATIENT & RUPTURE OF GALL BLADDER. DURING LAP CHOLEY A NEW STRYKER BED WAS BEING POSITIONED BY SURGEON INTO TRENDELENBERG POSITION WITH REMOTE AND A LARGE CRACKING NOISE NOTED AND THE BED FELL ABOUT 1 FOOT (SURGEON HAD HOLD OF THE GALLBLADDER W/GRASPER), CAUSING GALLBLADDER TO RUPTURE SPILLING BILIOUS FLUID/STONES INTO PERITONEUM. PATIENT WILL BE MONITORED FOR POSSIBLE INFECTIONS. MANUFACTURER RESPONSE FOR OPERATING TABLE, OPERON D 830 (PER SITE REPORTER). STRYKER HAS BEEN TO SITE TO LOOK AT THE BED. THEY'VE BEEN ACTIVELY INVOLVED WITH REVIEW.