BEUDAMED
    FDA Adverse Event Summary report: N

    *

    MDR report key: 2880890 · Received November 16, 2012

    Report

    Report Number
    2880890
    Date Received
    November 16, 2012
    Date of Event
    October 18, 2012
    Report Date
    November 16, 2012
    Manufacturer
    MEDLINE
    Product Code
    GDY
    Report Source
    User Facility report
    Reporter Location
    MN, US

    Narratives

    Description of Event or Problem · 1

    DURING PROCEDURE STAFF OPENED MULTIPACK OF LAP SPONGES AND DURING COUNTING PROCESS DISCOVERED ONE EXTRA LAP SPONGE IN PACK. ALL LAPS IN QUESTION WERE BAGGED AND TURNED OVER TO SUPERVISOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * GAUZE, SPONGE GDY MEDLINE DYNJ23813A 12HD1307

    Patients

    Seq Age Sex Outcome Treatment
    1 * NO OTHER THERAPIES