MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-10-17 for LAP SPONGE MDS251518LFT manufactured by Medline Industries, Inc..
[123988526]
Blue tail on lap sponge easily pulled out and away from sponge with potential to cause a retained sponge
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 7973892 |
| MDR Report Key | 7973892 |
| Date Received | 2018-10-17 |
| Date of Report | 2018-09-30 |
| Date of Event | 2017-11-14 |
| Report Date | 2018-09-30 |
| Date Reported to FDA | 2018-09-30 |
| Date Reported to Mfgr | 2018-10-17 |
| Date Added to Maude | 2018-10-17 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | LAP SPONGE |
| Generic Name | GAUZE/SPONGE, INTERNAL |
| Product Code | EFQ |
| Date Received | 2018-10-17 |
| Catalog Number | MDS251518LFT |
| Lot Number | 84317070128 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | 1 DA |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MEDLINE INDUSTRIES, INC. |
| Manufacturer Address | THREE LAKES DRIVE NORTHFIELD IL 60093 US 60093 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-10-17 |