MONOMAX VIOLET 1(4) 150CM LOOP (M) B0041077

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,07 report with the FDA on 2015-05-27 for MONOMAX VIOLET 1(4) 150CM LOOP (M) B0041077 manufactured by B. Braun Surgical S.a..

Event Text Entries

[5892278] Country of complaint: (b)(6). After use of the suture monomax there was dehiscence in the closure of an aponeurosis evidenced. Fraying of the thread was noted.
Patient Sequence No: 1, Text Type: D, B5


[13283852] Manufacturing site evaluation: samples received: 2 unopened pouches. There are no previous complaints of this code batch; (b)(6) units of this code batch were manufactured and distributed. Tightness test to the samples received has been performed and the units are tight. Knot pull tensile strength testing of the samples received was performed and the results fulfill the requirements of the oem. Linear pull tensile strength of the samples received was tested and the results are within specification. Degradation test (24 hours in hcl 3m solution at 37? C) has been conducted with the samples received and the results fulfill product specification. Samples obtained from qc stock were subjected to the same testing as the samples from the customer and all test results were within specification. Products performed according to specification. No corrective/ preventive action required.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2916714-2015-00448
MDR Report Key4809168
Report Source01,07
Date Received2015-05-27
Date of Report2015-05-27
Date of Event2014-12-18
Date Mfgr Received2015-04-28
Date Added to Maude2015-06-23
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactNICOLE BROYLES
Manufacturer Street615 LAMBERT POINTE DR
Manufacturer CityHAZELWOOD MO 63042
Manufacturer CountryUS
Manufacturer Postal63042
Manufacturer Phone3145515988
Manufacturer G1B. BRAUN SURGICAL SA
Manufacturer Street121 CARRETERA DE TERRASSA
Manufacturer CityRUBI (BARCELONA) 08191
Manufacturer CountryES
Manufacturer Postal Code08191
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMONOMAX VIOLET 1(4) 150CM LOOP (M)
Generic NameSUTURE
Product CodeNWJ
Date Received2015-05-27
Model NumberB0041077
Catalog NumberB0041077
Lot Number114353
Device Expiration Date2019-08-01
OperatorHEALTH PROFESSIONAL
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerB. BRAUN SURGICAL S.A.
Manufacturer AddressRUBI (BARCELONA), ES


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-05-27

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