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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITH & NEPHEW, INC. SUTURE, #2 WHITE, ULTRABRAID, 38"; SUTURE, NONABSORBABLE, SYNTHETIC, POLYETHYLENE

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SMITH & NEPHEW, INC. SUTURE, #2 WHITE, ULTRABRAID, 38"; SUTURE, NONABSORBABLE, SYNTHETIC, POLYETHYLENE Back to Search Results
Model Number 72200886
Device Problem Tear, Rip or Hole in Device Packaging (2385)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 08/17/2022
Event Type  malfunction  
Event Description
It was reported that during set up, a suture #2 ultrabraid had holes in the product´s package, observed by the nurse before usage.There was a back-up device available and non-significant delay was reported.There was no patient involvement.
 
Manufacturer Narrative
Internal complaint reference: (b)(4).
 
Manufacturer Narrative
Internal complaint reference (b)(4).H3, h6: the reported device was received for evaluation.A visual evaluation of the device showed that it was not returned in the original outer packaging.The individual pouch has the batch number of the complaint on the label.The vendor seal is complete and sealed.The open/non-chevron end had, at some point, been folded over and stapled but then the staple was removed leaving only the holes and a fold line.There is no indication that the pouch has been sealed.There is no "frost" from the tyvek and nylon or mylar being sealed together at any point across the open/non-chevron end.A review of device records showed there were no indications to suggest that the product did not meet manufacturing specification upon release for distribution.A complaint history review found similar reported events.A risk management review found that the reported failure and/or harm was documented appropriately, and there were no indications to suggest the anticipated risk is not adequate.A review of the package assembly, found the pouch seal strength to be a minimum of 1 lbs/inch minimum.The root cause was associated to manufacturing.The complaint was escalated to the manufacturing team and after review has determined no containment or corrective actions are recommended at this time.Internal complaint reference (b)(4).
 
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Brand Name
SUTURE, #2 WHITE, ULTRABRAID, 38"
Type of Device
SUTURE, NONABSORBABLE, SYNTHETIC, POLYETHYLENE
Manufacturer (Section D)
SMITH & NEPHEW, INC.
130 forbes blvd.
mansfield MA 02048
Manufacturer (Section G)
SMITH & NEPHEW, INC.
130 forbes blvd.
mansfield MA 02048
Manufacturer Contact
holly topping
7000 west william cannon drive
austin, TX 78735
5123913905
MDR Report Key15397328
MDR Text Key299938217
Report Number1219602-2022-01339
Device Sequence Number1
Product Code GAT
Combination Product (y/n)N
Reporter Country CodeHK
PMA/PMN Number
K041216
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Consumer,Health Professional,Company Representative
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 03/01/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received09/09/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date07/31/2023
Device Model Number72200886
Device Catalogue Number72200886
Device Lot Number74G1801417
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Date Manufacturer Received02/29/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured07/11/2018
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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