The sterile packed t2 femur nail was unwrapped, the undamaged cardboard box was opened and the nail given to the sterile nurse.
Afterwards it was recognized that the inner blister had a crac that ran for about 25 cm along the side of the blister and also across to the other side.
The nail was considered to be unsterile.
The nail was removed from the sterile field, the drapes that were touched were exchanged and the nail cleaned and sterilized.
The nail was then implanted as no other nail of this dimension was available in (b)(6).
The nail was removed from the sterile field and put into a washing machine for cleaning, afterwards packed separately and then put into the sterilisation.
Material that was touched by the potentially contaminated nail was exchanged for new.
Surgical delay of 210 min.
Not longer.
No other consequences reported.
As the surgery was only finished on (b)(6) 2018 potential problems resulting from the long surgery time could not be detected at this time.
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