MalfunctionLHC
WARMER, IRRIGATION SOLUTION
Received Jun 20, 2016 · Event occurred Oct 7, 2015
Report 5735170 · MDR key 5735170
Device
Generic name
Warmer, Irrigation Solution
Manufacturer
Medical Action IndustriesCatalog number
ORS-320
Lot number
D143431
Product problems
- Fluid/Blood Leak
Patient
0 YR
- No Known Impact Or Consequence To Patient
- No Known Impact Or Consequence To Patient
Narrative
Description of Event or Problem
WENT THROUGH ENTIRE CASE AND NOTICED AFTER THE PATIENT LEFT THE ROOM THAT THERE WAS ABOUT 1 CM OF IRRIGATION UNDERNEATH THE STERILE SLUSH DRAPE. CHECKED FOR LEAKS, BUT WAS UNABLE TO PIN POINT A LEAK LOCATION. DRAPE SAVED AND SENT TO COMPANY FOR TESTS TO BE COMPLETED. VERIFIED WITH SCRUB NURSE THAT THERE WERE NO BLUNT/SHARP OBJECTS PLACED IN THE STERILE DRAPE AT ANY TIME. SURGEON MADE AWARE VIA EMAIL BY RESOURCE NURSE. DRAPE INFORMATION: SLUSH/WARMER DISC-DRAPE, REF#ORS-320, LOT#D143431.