inforMED
MalfunctionLWH

OR LOCATE SPONGE SOLUTION

Received Apr 28, 2023 · Event occurred Sep 3, 2020

Report 3008920949-2023-00001 · MDR key 16834167

Device

Generic name

Sponge Solution

Catalog number

OX100

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

Unknown

  • Foreign Body In Patient
  • Foreign Body In Patient

Narrative

Additional Manufacturer Narrative

THE OPERATION ROOM LOCATE SYSTEM USES RFID TECHNOLOGY TO TRACK SPONGES (BEFORE, DURING, AND AFTER) SURGICAL PROCEDURES TO AVOID UN-INTENTIONALLY RETAINED SURGICAL ITEMS. AT THIS POINT, THERE HAS BEEN NO ALLEGATION THAT THE OR LOCATE SYSTEM CAUSED OR CONTRIBUTED TO THIS REPORTED EVENT; HOWEVER, OUT OF AN ABUNDANCE OF CAUTION, STERIS HAS ELECTED TO REPORT THIS EVENT BASED ON A LACK OF AVAILABLE INFORMATION AT THIS TIME. A FOLLOW-UP REPORT WILL BE SUBMITTED SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE.

Description of Event or Problem

STERIS WAS CONTACTED BY AN ATTORNEY REPRESENTING THE USER FACILITY ON 3/31/2023 REGARDING LITIGATION ALLEGING A SPONGE WAS LEFT IN A PATIENT'S PELVIC CAVITY DURING A PROCEDURE THAT OCCURRED ON (B)(6) 2020. IT WAS REPORTED THAT THE PROCEDURE SUBJECT OF THE EVENT INCLUDED USE OF THE OR LOCATE SPONGE SOLUTION.