MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-09 for MEDTRONIC 3-0 MONOSOF P-14 SUTURE SN-5663 manufactured by Medtronic / Covidien.
[183118455]
Suture [invalid] broke - sent back with rep. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5093630 |
| MDR Report Key | 9810776 |
| Date Received | 2020-03-09 |
| Date of Report | 2020-03-06 |
| Date of Event | 2020-03-05 |
| Date Added to Maude | 2020-03-10 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | MEDTRONIC 3-0 MONOSOF P-14 SUTURE |
| Generic Name | SUTURE, NONABSORBABLE, SYNTHETIC POLYAMIDE |
| Product Code | GAR |
| Date Received | 2020-03-09 |
| Model Number | SN-5663 |
| Catalog Number | SN-5663 |
| Lot Number | D9HO63OFY |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MEDTRONIC / COVIDIEN |
| Manufacturer Address | MINNEAPOLIS MN 55432 US 55432 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-03-09 |