MalfunctionFHI
DISPOSABLE LAP
Received Dec 31, 2004 · Event occurred Sep 21, 2004
Report 566176 · MDR key 566176
Device
Generic name
Laparotomy Sponge
Manufacturer
UnkModel number
INVENTORY NUMBER 29816Catalog number
REF. LDIII
Lot number
040130
Product problems
- Material Separation
Patient
47 YR
- Unknown (for use when the patient's condition is not known)
Narrative
Description of Event or Problem
DISPOSABLE LAP SPONGE RIPPED INTO 2 PIECES WHILE IN ABDOMEN. BOTH PIECES WERE REMOVED AND SEQUESTERED.