MalfunctionGDY
SPONGE
Received Sep 24, 2015 · Event occurred May 4, 2015
Report 5100470 · MDR key 5100470
Device
Product problems
- Device Packaging Compromised
Patient
Not reported
- No Information
Narrative
Description of Event or Problem
A PACK OF SPONGES IN THE VAGINAL PACK HAD 11 SPONGES INSTEAD OF 10. IDENTIFIED BY OPERATING ROOM STAFF DURING THE INITIAL COUNT FOR THE PROCEDURE. THE INCORRECT PACK OF SPONGES WAS REMOVED AND SENT TO OPERATING ROOM MATERIALS MANAGEMENT.