FDA Adverse Event
Injury
Summary report: N
ULTI-MED
MDR report key: 35444
·
Received July 2, 1996
Report
- Report Number
- 35444
- Event Type
- Injury
- Date Received
- July 2, 1996
- Date of Event
- April 4, 1996
- Report Date
- April 10, 1996
- Manufacturer
- ULTI-MED INTL., INC.
- Product Code
- GDY
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MA, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
PHYSICIAN NOTED LARGE AMOUNTS OF LINT ON HER GLOVES AND IN THE PT'S WOUND AFTER USING THE LAP SPONGE INTRA-OP. INCIDENT NECESSITATED WOUND IRRIGATIONS AND SOME CONCERNS THAT THE PT COULD RETURN WITH INFECTION OR STERILE ABSCESS. TO DATE, HOWEVER, NO UNTOWARD EVENTS HAVE OCCURRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ULTI-MED | LAP SPONGE | GDY | ULTI-MED INTL., INC. | * | 8489-8494 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 38 YR | Required Intervention |