SYMMETRY

Description of Event or Problem

DURING SURGICAL SPINE PROCEDURE, THE DOCTOR WAS USING A DISPOSABLE INSULATED BAYONET FORCEPS, AND STATED THAT THEY WERE NOT WORKING. IT WAS INITIALLY PLUGGED INTO THEIR PREFERRED UNIT (CODMAN). DOCTOR SAID IT SEEMED IT WAS WORKING, THEN STOPPED, WORKING ,STOPPED. THEY DESCRIBED THE MALFUNCTION AS A "SHORT CIRCUIT-- SOMETHING'S WRONG WITH THE CONNECTION." ACTION TAKEN BY RN, WHO SWITCHED TO A DIFFERENT CAUTERY MACHINE ( X2) I SWITCHED FOOT PEDALS (X 2). RN OPENED NEW BAYONET FORCEPS ( X2) I THEN OPENED A THIRD AND CHECKED IT WAS A NEW LOT NUMBER AND WORKED.