inforMED
MalfunctionGDY

SITUATE

Received Nov 1, 2024

Report 1717344-2024-02041 · MDR key 20587185

Device

Generic name

Gauze/sponge, Internal, X-ray Detectable

Model number

G0404-16P01C-1

Catalog number

G0404-16P01C-1

Lot number

240715AT

Product problems

  • Material Fragmentation
  • Material Fragmentation

Patient

NA · Unknown

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

ACCORDING TO THE REPORTER, THE SURGEON STATED THAT THE RAYTECS HAVE FINE FIBERS COMING OFF OF THE RAYTECS THAT THEY CAN SEE UNDER THE MICROSCOPE. THEY WERE SHREDDING AND LEAVING DEBRIS/LINT IN THE INCISION.

Additional Manufacturer Narrative

MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.