inforMED
InjuryGAS

SURGIPRO 0 30 BLUE GS-21 103P

Received Dec 5, 2014 · Event occurred Oct 25, 2014

Report 9612501-2014-00440 · MDR key 4299997

Device

Generic name

Surgipro

Manufacturer

Covidien

Model number

CP424

Catalog number

CP424

Lot number

D3J1165X

Product problems

  • Break

Patient

Not reported

  • Cardiac Arrest

Narrative

Additional Manufacturer Narrative

(B)(4). FOLLOW UP 01 SENT TO FDA ON 03/24/2015.

Additional Manufacturer Narrative

INITIAL REPORT SENT TO FDA ON 012/5/2014.

Description of Event or Problem

THE DOCTOR WAS PERFORMING AN EPIGASTRIC VENTRAL HERNIA REPAIR TO A (B)(6) YEAR OLD PATIENT. AFTER SEWING THE PATIENT, THE SUTURE BROKE CAUSING THE HERNIA TO BREAK AGAIN AND THE PATIENT HAD CARDIAC ARREST. HE RECOVERED FROM THE HEART FAILURE AND WAS OPERATED ON AGAIN. THE PATIENT IS RECOVERING WITH A GOOD EVOLUTION.