inforMED
MalfunctionGDY

SURGICOUNT+ GAUZE, 2X2, 12 PLY, RFID, XRAY

Received Oct 22, 2024 · Event occurred Sep 30, 2024

Report 3015967359-2024-02220 · MDR key 20504495

Device

Generic name

Gauze/sponge, Internal, X-ray Detectable

Catalog number

0632-022-120

Lot number

VMSR

Product problems

  • Material Frayed
  • Material Frayed

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THIS RECORD IS A CONSOLIDATION OF RECORDS SUMMARIZED AS A PART OF THE FDA VOLUNTARY MALFUNCTION SUMMARY REPORTING PROGRAM. SUPPLEMENTAL RATIONALE CORRECTED DATA: H6, H11. 1 PREVIOUSLY REPORTED EVENT IS INCLUDED IN THIS FOLLOW-UP RECORD. PRODUCT RETURN STATUS 1 DEVICE WAS NOT AVAILABLE FOR EVALUATION.

Description of Event or Problem

THIS REPORT SUMMARIZES 1 MALFUNCTION EVENT IN WHICH THE DEVICE MATERIAL REPORTEDLY FRAYED. - 1 EVENT HAD PATIENT INVOLVEMENT; NO PATIENT IMPACT.

Additional Manufacturer Narrative

THIS RECORD IS A CONSOLIDATION OF RECORDS SUMMARIZED AS A PART OF THE FDA VOLUNTARY MALFUNCTION SUMMARY REPORTING PROGRAM. REPORTED EVENTS: 1 EVENT WAS REPORTED FOR THIS QUARTER. PRODUCT RETURN STATUS: 1 DEVICE INVESTIGATION TYPE HAS NOT YET BEEN DETERMINED. ADDITIONAL INFORMATION: 1 DEVICE WAS LABELED FOR SINGLE-USE. 1 DEVICE WAS NOT REPROCESSED OR REUSED.

Description of Event or Problem

THIS REPORT SUMMARIZES 1 MALFUNCTION EVENT IN WHICH THE DEVICE MATERIAL REPORTEDLY FRAYED. 1 EVENT HAD PATIENT INVOLVEMENT; NO PATIENT IMPACT.