inforMED
MalfunctionGAS

POLYGLACTIN 910 SUTURE

Received Aug 10, 2012 · Event occurred Jul 10, 2012

Report 2210968-2012-03855 · MDR key 2691210

Device

Generic name

Suture, Absorble

Manufacturer

Ethicon, Inc

Model number

NA

Catalog number

PG130X

Lot number

275905

Product problems

  • Break

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON (B)(6) 2012 AND SUTURE WAS USED. DURING THE PROCEDURE THE SUTURE BROKE. THERE WERE NO ADVERSE PATIENT CONSEQUENCES.

Additional Manufacturer Narrative

(B)(4). CONCLUSION: NO CONCLUSION CAN BE DRAWN AT THIS TIME. SHOULD ADDITIONAL INFORMATION BE OBTAINED, A SUPPLEMENTAL 3500A FORM WILL BE SUBMITTED ACCORDINGLY. IN ADDITION, A REVIEW OF THE BATCH MANUFACTURING RECORDS WAS CONDUCTED AND THE BATCH MET ALL FINISHED GOODS RELEASE CRITERIA. THIS IS ONE OF TWO MEDWATCHES BEING SUBMITTED AS TWO DEVICES WERE INVOLVED IN THIS EVENT. SEE ALSO MEDWATCH 2210968-2012-03854. THE SAME PATIENT IS REPRESENTED IN EACH MEDWATCH.

Remedial action

  • Other