RAYTEC SPONGE
Received Sep 25, 2024 · Event occurred Sep 20, 2024
Report 20300106 · MDR key 20300106
Device
Generic name
Gauze/sponge, Internal, X-ray Detectable
Manufacturer
Cardinal Health 200, LlcLot number
24E044262 AND 24E044362
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
USED SPONGES WERE THROWN ON TO DROP ZONE. THE CIRCULATOR NOTICED WHEN HANGING THEM INTO THE COUNTER BAG THAT ONE WAS MISSING BLUE X RAY STRING. THE AREAS WAS SEARCHED, THE CIRCULATOR FOUND THE STRING ON THE FLOOR NEAR THE DROP ZONE. MORE SPONGES WERE EXAMINED AND FOUND TO HAVE THE BLUE DETECTABLE STRING FALLING OUT. ANOTHER SET WAS OPENED WITH THE SAME ISSUE. THE STRING CAN BE EASILY PULLED OUT, THEY COULD BE POTENTIALLY LEFT IN A PATIENT IF THE STRING WOULD BE SEPARATED. MANAGEMENT WAS CALLED TO THE OR TO ACKNOWLEDGE THE ISSUE. SPONGE COUNT WAS CORRECT AT THE END OF CLOSURE FOR THE PROCEDURE.