inforMED

PURITAN

Received Jan 5, 2015 · Event occurred Oct 6, 2014

Report 1216735-2014-00003 · MDR key 4404260

Device

Generic name

Wound Measure Device

Model number

1506 1PF DM

Catalog number

1506 1PF DM

Lot number

UNK

Product problems

  • Loss of or Failure to Bond

Patient

UNK

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

RN WAS MEASURING PT ABDOMINAL WOUND UPWARDS TOWARD 12 O'CLOCK USING PLASTIC FOAM TIPPED MEASURING DEVICE. WHEN REMOVED APPLICATOR, REALIZED THAT FOAM TIP WAS NO LONGER ON STICK. USED FLASHLIGHT TO LOOK UPWARD TO SEE IF COULD BE RETRIEVE ANY FOAM THAT MAY HAVE BEEN LEFT IN WOUND BUT UNABLE TO SEE ANY. PT WAS ADMITTED FOR SURGICAL REMOVAL OF SPONGE. SPONGE REMOVE FROM WOUND.

Additional Manufacturer Narrative

THIS INCIDENT IS A CLAIM FROM OVER (B)(4) WOUND DEVICES DISTRIBUTED OVER THE LAST 3 YEARS. OUR INVESTIGATION COULD NOT REPRODUCE A DEFECT THAT WOULD ACCOUNT FOR THIS CLAIM.