LAPAROSCOPIC CHOLECYSTECTOMY KIT LSRHHLAPCHC

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-12-07 for LAPAROSCOPIC CHOLECYSTECTOMY KIT LSRHHLAPCHC manufactured by Leesar, Inc..

Event Text Entries

[32768045]
Patient Sequence No: 1, Text Type: N, H10


[32768046] Over a period of time, our operating room staff have identified incorrect sponge counts right out of the package. We have been reporting them via medsun. Our custom surgical pack operations company asked for a meeting regarding our problems with sponge counts and we did so this month. They explained quite in detail what they have been doing for the last few months to mitigate this problem. In summary, our vendor puts together the packs, opens the sponge packs received from the manufacturer and counts twice on their assembly line. One person counts, then it goes to the next person to count. Our operating room staff educators have shared this with our staff; our counts are done by laying out the sponges separately on a flat surface. At this time, we are seeing fewer incidences of incorrect numbers of sponges in packs and we hope the problems have been resolved.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number5270146
MDR Report Key5270146
Date Received2015-12-07
Date of Report2015-11-19
Date of Event2015-09-01
Report Date2015-11-19
Date Reported to FDA2015-11-19
Date Reported to Mfgr2015-11-19
Date Added to Maude2015-12-07
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameLAPAROSCOPIC CHOLECYSTECTOMY KIT
Generic NameLAPAROSCOPIC CHOLECYSTECTOMY KIT
Product CodePKE
Date Received2015-12-07
Model NumberLSRHHLAPCHC
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerLEESAR, INC.
Manufacturer Address2727 WINKLER AVENUE FORT MYERS FL 33901 US 33901


Patients

Patient NumberTreatmentOutcomeDate
10 2015-12-07

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