SUTURE UNKNOWN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,other report with the FDA on 2020-01-02 for SUTURE UNKNOWN manufactured by Ethicon Inc..

Event Text Entries

[185792303] (b)(4). To date the device has not been returned. If the device or further details are received at a later date a supplemental medwatch will be sent. Additional information: the actual device batch number associated with this event is not known. The possible batch number was reported as follows: batch t6006 - unknown corresponding product code. Attempts are being made to obtain the following information. To date no response has been provided. If further details are received at a later date a supplemental medwatch will be sent. What are the patient age, weight, bmi, past medical and surgical history? What tissue layer was the unknown suture used on during initial procedure? What was the date of the initial c-section procedure? Please explain? Healing is not ideal?? What was the date of the patient treatment? What is the surgeon opinion as to contributing factors to the symptoms? Can you identify the name/ product code for the lot number t6006 of suture used? Do you have any samples for evaluation? What is the current condition of the patient?
Patient Sequence No: 1, Text Type: N, H10


[185792304] It was reported that the patient underwent a cesarean section procedure on an unknown date and suture was used. Approximately three days after the procedure, the patient experienced swelling and inflammation at the incision site. The healing is not ideal. After diagnosis, the patient was given anti-allergic and anti-infective therapy immediately. No additional information was provided. The current status of the patient is unknown. Additional information has been requested.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2210968-2020-00018
MDR Report Key9540980
Report SourceFOREIGN,OTHER
Date Received2020-01-02
Date of Report2019-12-10
Date of Event2019-09-01
Date Mfgr Received2019-12-10
Date Added to Maude2020-01-02
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactKARA DITTY-BOVARD
Manufacturer StreetP.O. BOX 151, ROUTE 22 WEST
Manufacturer CitySOMERVILLE NJ 08876
Manufacturer CountryUS
Manufacturer Postal08876
Manufacturer Phone6107428552
Manufacturer G1ETHICON INC.- AURANGABAD
Manufacturer Street312379@B-15/1 M.I.D.C., 1 WALU
Manufacturer CityAURANGABAD
Manufacturer CountryIN
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSUTURE UNKNOWN
Generic NameSUTURE, ABSORBABLE
Product CodeGAK
Date Received2020-01-02
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerETHICON INC.
Manufacturer AddressP.O. BOX 151, ROUTE 22 WEST SOMERVILLE NJ 08876 US 08876


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-01-02

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