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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: B.BRAUN SURGICAL SA DAFILON BLUE 4/0 (1.5) 90CM DS19; SUTURES

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B.BRAUN SURGICAL SA DAFILON BLUE 4/0 (1.5) 90CM DS19; SUTURES Back to Search Results
Model Number C0935220
Device Problems Break (1069); Material Frayed (1262); Knotted (1340)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Type  malfunction  
Manufacturer Narrative
Manufacturing site evaluation: samples received: there are no samples available.Analysis and results: there are no previous complaints of this code batch.There are no units in stock.(b)(4) units were manufactured and distributed.Without any closed sample an analysis cannot be carried out in order to make a decision.As indicated in the dafilon instructions for use: "when working with suture materials great care should be taken to ensure that the use of surgical instruments, such as tweezers and needle holders, does not cause the material to be damaged by being pinched or kinked".Final conclusion: without samples, not in position of studying if the affected product does not fulfill the oem specifications.Complaint is not justified.Actions on product distributed of this reference/batch: based on the conclusion derived from investigation, it is not required to take an actions on the product.Corrective/preventive actions: according to the internal procedures, there is no need to establish corrective or preventive actions.Nevertheless, this complaint is recorded for trending analysis to assess if actions are needed in the future.
 
Event Description
Country of complaint: (b)(4).The thread breaks extremely easily, forming at the break a fraying of the thread and the thread slides on the first knot, making it difficult for the second knot.Also, the wire is very elastic and the shape memory is excessively marked.The thread is damaged.
 
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Brand Name
DAFILON BLUE 4/0 (1.5) 90CM DS19
Type of Device
SUTURES
Manufacturer (Section D)
B.BRAUN SURGICAL SA
121 carretera de terrassa
rubi, barcelona 08191
SP  08191
Manufacturer (Section G)
B.BRAUN SURGICAL SA
121 carretera de terrassa
rubi, barcelona 08191
SP   08191
Manufacturer Contact
nicole broyles
615 lambert pointe drive
hazelwood, MO 63042
3145515988
MDR Report Key5185090
MDR Text Key29741915
Report Number2916714-2015-00920
Device Sequence Number1
Product Code GAR
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
K990090
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Reporter Occupation Other
Type of Report Initial
Report Date 10/26/2015
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/28/2015
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberC0935220
Device Catalogue NumberC0935220
Device Lot Number615121
Date Manufacturer Received09/29/2015
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Other;
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