BEUDAMED
    FDA Adverse Event Injury Summary report: N

    JARIT

    MDR report key: 2306857 · Received October 18, 2011

    Report

    Report Number
    MW5022733
    Event Type
    Injury
    Date Received
    October 18, 2011
    Date of Event
    October 10, 2011
    Report Date
    October 18, 2011
    Manufacturer
    INTEGRA LIFE SCIENCES
    Product Code
    LRW
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NE, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    NOTIFIED BY STERILE PROCESSING THAT A PORTION OF THE LAPAROSCOPIC SCISSOR TIP WAS MISSING WHEN THEY RECEIVED IT IN THEIR DEPT. HAD BEEN USED FOR LAPAROSCOPIC APPENDECTOMY PERFORMED ON AMBULATORY SURGICAL PT. PT HAD NOT YET BEEN DISMISSED. SURGEON NOTIFIED IMMEDIATELY AND X-RAY OBTAINED IDENTIFYING OBJECT REMAINED INTRA-ABDOMINALLY. PT WAS INFORMED BY THE SURGEON. DISCUSSION REGARDING WHETHER TO TRY AND RETRIEVE. TIP IS SMALL AND WOULD BE EXTREMELY DIFFICULT TO RETRIEVE, ABDOMEN DISTENDED FROM SURGERY. PT AGREES TO NOT RETURN TO SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 JARIT ROTO-CAM SUPERSCS MONO LRW INTEGRA LIFE SCIENCES 5MM32CM UNSURE

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR Other