MalfunctionLWH
SITUATE SPONGE DETECTION SYSTEM
Received Apr 6, 2023 · Event occurred Mar 16, 2023
Report 16688810 · MDR key 16688810
Device
Generic name
Counter, Sponge, Surgical
Manufacturer
Medtronic, Inc.Product problems
- Incorrect Interpretation of Signal
Patient
28470 DA · Male
- Insufficient Information
- Insufficient Information
Narrative
Description of Event or Problem
THE CLOSING COUNT WAS INCORRECT. STAFF SCANNED PATIENT WITH SITUATE MAT AND RECEIVED ¿ALL CLEAR¿ MESSAGE. STAFF THEN USED SITUATE WAND ON FIELD AND A LAP PAD WAS DETECTED. THE SURGEON HAD A TOWEL TOWARDS THE HEAD OF THE BED. ONCE THE TOWEL WAS LIFTED, A LAP PAD WAS IDENTIFIED AND RETRIEVED. CONCERN THAT SITUATE MAT DID NOT DETECT LAP PAD THAT WAS DETECTED BY SITUATE WAND. MANUFACTURER RESPONSE FOR SITUATE MAT, SITUATE SPONGE DETECTION SYSTEM (PER SITE REPORTER). THEY ARE REVIEWING/ INVESTIGATING.