SUPRAMID BLACK 4/0 (1.5) 75CM DS19 C0714208

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 2020-03-16 for SUPRAMID BLACK 4/0 (1.5) 75CM DS19 C0714208 manufactured by B.braun Surgical Sa.

Event Text Entries

[183664405] Pma/510k: reported device not marketed in the u. S. , however, similar devices or devices that share components, raw materials, process methods or other technological characteristics are registered within the u. S. K990090. Samples received: there are no samples available. Analysis and results: there are no previous complaints of the same code-batch. We manufactured and distributed in the market 2,088 units of this code-batch. There are no units in our stock. We have not received any sample for analysis. Without any samples we cannot carry out an analysis in order to take a decision. Reviewed the batch manufacturing record, this product had a normal process and the results during the process fulfil usp/ep and b. Braun surgical requirements. Needle attachment strength results on samples during the process were 0. 96 kgf in average and 0. 64 kgf in minimum and fulfilled the requirements of the european pharmacopoeia (ep requirements: 0. 46 kgf in average and 0. 23 kgf in minimum). Final conclusion: without samples we are not in position of studying if the affected product does not fulfil the specifications. In consequence, a proper analysis cannot be done and the case is not confirmed due to lack of evidence. Nevertheless, we take note of this incidence and if any sample is received in the future, we will re-open the case and analyze it. Please note that when no samples are received our analysis is very limited. Actions on product distributed of this reference/batch: based on the conclusion derived from investigation, it is not required to make actions in distributed product. No corrective/preventive actions needed.
Patient Sequence No: 1, Text Type: N, H10


[183664406] It was reported that there is an issue with a needle detachment. The reporter indicated that the thread split from the needle. Additional information is not available. Patient information is not available.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3003639970-2020-00130
MDR Report Key9837256
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-03-16
Date of Report2020-03-16
Date Mfgr Received2020-01-22
Date Added to Maude2020-03-16
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 ContactMS. SILVIA ORUS
Manufacturer StreetCARRETERA DE TERRASSA, 121
Manufacturer CityRUBI, BARCELONA 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 NameSUPRAMID BLACK 4/0 (1.5) 75CM DS19
Generic NameOTHER SUTURE
Product CodeGAR
Date Received2020-03-16
Model NumberC0714208
Catalog NumberC0714208
Lot Number618521V030
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerB.BRAUN SURGICAL SA
Manufacturer Address121 CARRETERA DE TERRASSA RUBI, 08191 SP 08191


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-16

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