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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON INC. PROLENE SUTURE 36IN (90CM) 4-0 BLU; SUTURE, NONABSORBABLE, SYNTHETIC

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ETHICON INC. PROLENE SUTURE 36IN (90CM) 4-0 BLU; SUTURE, NONABSORBABLE, SYNTHETIC Back to Search Results
Catalog Number EH7585H
Device Problem Inadequacy of Device Shape and/or Size (1583)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 06/04/2019
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Attempts have been made to retrieve the device.To date the device has not been returned.If the device or further details are received at a later date a supplemental medwatch will be sent.
 
Event Description
It was reported that a patient underwent an unknown procedure on (b)(6) 2019 and suture was used.It was found that a part of the suture had been thin after the package was opened.The product was not used for the patient.There were no adverse patient consequences reported.No additional information is available.
 
Manufacturer Narrative
Product complaint #: (b)(4).A manufacturing record evaluation was performed for the finished device number, and no non-conformances were identified.Device evaluation summary: the actual device was received for analysis an empty labeled winding former and two needle-suture pieces and of product code eh7585, lot mmj553.During the visual inspection of the sample, the swage and attachment area were noted to be as expected.A needle still has attached a suture piece and the second needle has attached a filament suture to barrel hole.Also, the ends of the sutures were noted cut, present damaged and an elongation due to the stress applied to the strand, this condition causes changes on the suture diameter.As with any device, care should be taken to avoid damage to the strand when handling.Avoid the crushing or crimping action of the surgical instruments, such as needle holders and forceps.The manufacturing records were reviewed, and the manufacturing/packaging criteria were met prior to the release of this batch.Per the condition of the sample received, the assignable cause of the performance suture diameter issue was an improper handling.
 
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Brand Name
PROLENE SUTURE 36IN (90CM) 4-0 BLU
Type of Device
SUTURE, NONABSORBABLE, SYNTHETIC
Manufacturer (Section D)
ETHICON INC.
p.o. box 151, route 22 west
somerville NJ 08876 0151
MDR Report Key8855609
MDR Text Key153123795
Report Number2210968-2019-85049
Device Sequence Number1
Product Code GAW
UDI-Device Identifier10705031097254
UDI-Public10705031097254
Combination Product (y/n)N
PMA/PMN Number
K133356
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup
Report Date 07/08/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/02/2019
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date10/31/2023
Device Catalogue NumberEH7585H
Device Lot NumberMMJ553
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/14/2019
Date Manufacturer Received08/14/2019
Patient Sequence Number1
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