inforMED
InjuryGAS

VASCUFIL 7/0 30 D/A BLUE CV-1

Received Oct 12, 2012 · Event occurred Jul 17, 2012

Report 1219930-2012-00841 · MDR key 2798829

Device

Generic name

Non-absorbable Suturing Product

Catalog number

8886470401V

Lot number

A1K0297X

Product problems

  • Break
  • Material Fragmentation

Patient

81 YR

  • Hematoma
  • Hemorrhage/Blood Loss/Bleeding

Narrative

Description of Event or Problem

PROCEDURE: ARTERIOTOMY SUTURE OF INTERNAL COMMON CAROTID. ACCORDING TO THE REPORTER: THE SUTURE BROKE AT HALF SUTURE. THE SUTURE WAS STARTED AGAIN WITH A NEW VASCUFIL 7/0, SAME LOT NUMBER, STARTING FROM THE DISTAL POINT OF ARTERIOTOMY WITH CONTINUE SUTURE, UP TO KNOTTING THIS NEW THREAD WITH THE END OF PREVIOUS ONE. THEN, IT WAS PERFORMED A REINFORCEMENT OF THE FIRST SUTURE WITH THE SECOND ONE. WHEN PATIENT WAS EXTUBATED, A SUDDEN RIGHT LATERO-CERVICAL HAEMATOMA APPEARED. PATIENT WAS CANNULIZED IN EMERGENCY AND, MEANWHILE, THE HAEMATOMA EMPTYING WAS PERFORMED. AFTER THE EMERGENCY OPERATIONS TO STOP BLEEDING BY VESSEL CLAMPING, IT WAS FOUND A BREACH (AN OPENING) ON THE SUTURE FROM THE DISTAL END TO THE MIDDLE KNOTTING POINT, WITH AN EVIDENT BREAK OF THREAD. THE FRAGMENT OF THE BROKEN SUTURE WERE REMOVED AND A NEW SUTURE WAS PERFORMED USING THE PRODUCT WITH DIFFERENT LOT NUMBER.

Additional Manufacturer Narrative

(B)(4).