MONOMAX VIOLET 0 (3,5) 150CM HR37S(M)DDP B0041043

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-02-05 for MONOMAX VIOLET 0 (3,5) 150CM HR37S(M)DDP B0041043 manufactured by B.braun Surgical Sa.

Event Text Entries

[178029243] Investigation on-going. Additional information / investigation results will be provided in a supplemental report.
Patient Sequence No: 1, Text Type: N, H10


[178029244] It was reported that there was an issue with monomax violet. The customer stated that the sterile inner packaging is stuck at the frontside of the outer pouch. The suture did not reach the sterile field, and therefore has not been used on a patient. There is no further information.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3003639970-2020-00043
MDR Report Key9672492
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-02-05
Date of Report2020-02-18
Date Mfgr Received2020-02-18
Date Added to Maude2020-02-05
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactSILVIA ORUS
Manufacturer Street121 CARRETERA DE TERRASSA
Manufacturer CityRUBI, 08191
Manufacturer CountrySP
Manufacturer Postal08191
Manufacturer G1B.BRAUN SURGICAL SA
Manufacturer Street121 CARRETERA DE TERRASSA
Manufacturer CityRUBI, 08191
Manufacturer CountrySP
Manufacturer Postal Code08191
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMONOMAX VIOLET 0 (3,5) 150CM HR37S(M)DDP
Generic NameSYNTHETIC ABSORBABLE MONOFILAR
Product CodeNWJ
Date Received2020-02-05
Model NumberB0041043
Catalog NumberB0041043
Lot Number119281
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerB.BRAUN SURGICAL SA
Manufacturer Address121 CARRETERA DE TERRASSA RUBI, 08191 SP 08191


Patients

Patient NumberTreatmentOutcomeDate
10 2020-02-05

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