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The patient reported the following regarding their eyelid surgery recovery: the right eye healed with mild discomfort, while the left eye experienced persistent discomfort, especially around the outer corner.On (b)(6), a suture tail appeared in the center of the lower left eyelid, which the patient removed.On (b)(6), the patient removed another loose suture from the lower left eyelid, which relieved the irritation.Based on our review of the device history record (dhr) for the subject device, there were no recorded nonconformances, deviations, or other manufacturing anomalies that could account for the reported failure.All production and inspection processes were completed in accordance with specified requirements, and no irregularities were identified that would have impacted the device's functionality or quality.Sterile samples from the reported lot, including the actual devices, were not returned for visual review or analysis.Without the actual reported devices, photos of the devices, or detailed information on the method used to remove the device from the packaging, preoperative preparation of the device, or the surgeon¿s technique, a definitive root cause cannot be determined at this time.Review of labeling 03-6077r1: contraindications: this suture, being absorbable, should not be used where extended approximation of tissue is required.The use of this suture is contraindicated in patients with known sensitivities or allergies to collagen or chromium, as gut is a collagen based material, and chromic gut is treated with chromic salt solutions.Adverse reactions: averse effects associated with the use of this device may include: would dehiscence; variable rates or absorption over time; failure to provide adequate wound support in closure of sites where expansion, stretching or distension occur, etc., unless additional support is supplied through the use of nonabsorbable suture material; failure to provide adequate wound support in elderly, malnourished, or debilitated patients or in patents suffering from conditions which may delay wound healing; allergic response in patients with known sensitivities to collagen or chromium which may result in an immunological reaction resulting in inflammation, tissue granulation, or fibrosis, wound suppuration and bleeding as well as sinus formation; infection; moderate tissue inflammatory response.
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