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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON INC. PDS+ CLR 27IN 3-0 S/A FS-1; SUTURE, SURGICAL, ABSORBABLE

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ETHICON INC. PDS+ CLR 27IN 3-0 S/A FS-1; SUTURE, SURGICAL, ABSORBABLE Back to Search Results
Model Number PDP442H
Device Problem Break (1069)
Patient Problem Wound Dehiscence (1154)
Event Date 01/01/2023
Event Type  malfunction  
Manufacturer Narrative
Product complaint # (b)(4).Component code: g07002 - no device problem found.This is a combination product, and the event has been reviewed for both the suture and the triclosan.This report is being submitted pursuant to the provisions of 21 cfr, part 803, part 4 subpart b.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by ethicon, or its employees that the report constitutes an admission that the product, ethicon, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.Additional information was requested, and the following was obtained via: please provide the lot number: lot rmmpmt a manufacturing record evaluation was performed for the finished device lot, and no non-conformances were identified.Trade name - irgacare®, active ingredient(s) ¿ triclosan, dosage form ¿ suture/solid/parenteral, and strength ¿ = 2360 g/m.Investigation summary: the product was returned for evaluation.Visual inspection and functional testing were conducted on the returned device.Visual analysis of the returned sample determined that it was received seven unopened samples that pertain to the product code pdp442h.In order to evaluate the condition of the returned samples, the packets were opened, and the swage and attachment area was noted to be as expected.The sutures were dispensed without problems and examined along the strand and no issues related to breakage sutures or anomalies were observed during the evaluation.A functional test was performed using instron equipment and the tensile force was above the minimum requirements.As part of the quality process, all devices are manufactured, inspected, and released to approved specifications.There may have been other circumstances or issues that occurred during the use of the device that we were unable to duplicate during our laboratory analysis.
 
Event Description
It was reported that an animal underwent a veterinary procedure on (b)(6) 2023 and suture was used.Post-op, the cat wound was opened.They notised that suture was broken.No adverse patient consequences were reported.Additional information was requested.
 
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Brand Name
PDS+ CLR 27IN 3-0 S/A FS-1
Type of Device
SUTURE, SURGICAL, ABSORBABLE
Manufacturer (Section D)
ETHICON INC.
1000 route 202
raritan NJ 08869
Manufacturer (Section G)
ETHICON INC.-JUAREZ
avenida de las torres 7125
col salvacar
cuidad juarez
MX  
Manufacturer Contact
elba bello
1000 route 202
raritan, NJ 08869
9083863534
MDR Report Key16315304
MDR Text Key309032018
Report Number2210968-2023-00902
Device Sequence Number1
Product Code NEW
UDI-Device Identifier10705031048300
UDI-Public10705031048300
Combination Product (y/n)Y
Reporter Country CodeFI
PMA/PMN Number
K061037
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Company Representative
Reporter Occupation Other
Type of Report Initial
Report Date 02/07/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/07/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date10/31/2023
Device Model NumberPDP442H
Device Catalogue NumberPDP442H
Device Lot NumberRMMPMT
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/27/2023
Date Manufacturer Received01/11/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured11/24/2021
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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