COVIDIEN ARGYLE SILICONE THORACIC CATHETER

Description of Event or Problem

DURING A BOLT (BILATERAL ORTHOTOPIC LUNG TRANSPLANTATION) PROCEDURE, A CHEST TUBE PIECE BROKE OFF AND WAS RETAINED IN THE PATIENT'S ABDOMEN, RIGHT UPPER QUADRANT. IT WENT WITHOUT NOTICE FOR A MONTH, LIKELY DUE TO OVERLAPPING TUBES, BUT WAS EVENTUALLY IDENTIFIED ON AN X-RAY. DURING A PROCEDURE ALREADY SCHEDULED, THE SURGEON ALSO RETRIEVED THE RFB.