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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON, INC. ETHICON MONCRYL PLUS ANTIBACTERAI 4.0; SUTURE, ABSORBABLE, SYNTHETIC, POLYGLYCOLIC ACID

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ETHICON, INC. ETHICON MONCRYL PLUS ANTIBACTERAI 4.0; SUTURE, ABSORBABLE, SYNTHETIC, POLYGLYCOLIC ACID Back to Search Results
Device Problem Dull, Blunt (2407)
Patient Problem Laceration(s) (1946)
Event Date 07/27/2022
Event Type  Injury  
Event Description
The patient underwent a c-section.While the physician was closing the patient, the physician noticed the needle was not flowing smoothly through the tissue.The physician examined the needle and noticed that the end was blunted.The physician ordered an x-ray of the abdomen.Fda safety report id# (b)(4).
 
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Brand Name
ETHICON MONCRYL PLUS ANTIBACTERAI 4.0
Type of Device
SUTURE, ABSORBABLE, SYNTHETIC, POLYGLYCOLIC ACID
Manufacturer (Section D)
ETHICON, INC.
MDR Report Key15638617
MDR Text Key302196877
Report NumberMW5112758
Device Sequence Number1
Product Code GAM
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Risk Manager
Type of Report Initial
Report Date 10/17/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received Not provided
Initial Date FDA Received10/19/2022
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient Age37 YR
Patient SexFemale
Patient EthnicityNon Hispanic
Patient RaceBlack Or African American
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