BIOPREP

Description of Event or Problem

DURING A HEMIARTHROPLASTY HIP PROCEDURE, BLUE PARTICULATE DEBRIS (¿CHIPS¿) WERE NOTED ON THE STERILE FIELD AFTER USE OF A CEMENT SCRAPER. THE BLUE CEMENT SCRAPER WAS IDENTIFIED AS THE SOURCE OF THE DEBRIS. THE CEMENT SCRAPER WAS IMMEDIATELY REMOVED FROM THE STERILE FIELD. ALL VISIBLE DEBRIS WAS RETRIEVED. A NEW STERILE CEMENT SCRAPER WAS OBTAINED, AND THE PROCEDURE CONTINUED. THE AFFECTED INSTRUMENT WAS ISOLATED FOR FURTHER EVALUATION PER PROTOCOL. NO FURTHER DEBRIS WAS NOTED AFTER REPLACEMENT.