MAUDE Adverse Event Report: ETHICON INC. PRLNE BLU 2X24IN 7-0 D/A BV175-6 MP; SUTURE, NONABSORBABLE, SYNTHETIC, POLYPROPYLENE

Catalog Number	M8737
Medical Device Problem Code	Break (1069)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	01/01/2025
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that a patient underwent an unknown procedure on an unknown date and suture was used.It was reported that the surgeon suture broke during a cabg case there was a slight delay in case waiting to grab another stitch.No patient consequences.There was also slight added time to the heart having to be manipulated.After some digging the suture came in a medline prepack for the specific doctor and case.This has happened several times with suture that come in the medline packs.They grab the suture off the suture cart and have no issues.The procedure was completed successfully with no adverse consequences for the patient.Additional information was requested.
Additional Manufacturer Narrative
Product complaint # (b)(4).Date sent to the fda: 11/17/2025.This report is being submitted pursuant to the provisions of 21 cfr, part 803.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.A manufacturing record evaluation was performed for the finished device lot, and no non-conformances were identified.Additional information was requested, the following was obtained: please provide an answer for each case: did the event occur during one or multiple patient procedures? multiple.What is the total number of procedures? unknown ¿ not documented/tracked.Have any of these events been previously reported to ethicon? if so, could you please provide the corresponding reference number(s)? unknown.If this event occurred during multiple procedures, would you kindly create a product complaint for each event and provide the corresponding reference number(s)? n/a.Please clarify what you meant by ".There was also slight added time to the heart having to be manipulated." any additional, unintended time required to manipulate the heart increases patient risk.Was there any medical or surgical intervention performed (product removed; re-operation; re-suturing; re-closure; drainage)? if so, please specify.Yes ¿ the suture was removed from the anastomosis, and a new suture from a new pack was used.Was a prescription for steroids or antibiotics issued for the patient's recovery? if so, please provide the medication name, route, and dosage.N/a.How long was the delay? please specify in minutes.<3 minutes.Were there any unexpected outcomes or complications as a result of the prolonged surgery time? no.Any photos of the 'medline prepacks' available for visual analysis? no.However, the suture packs are processed on the medline davies coronary pack.Provide the source or name and title of external person providing answers to follow-up (external person submitting answers to sales rep).Dc), cvor assistant nurse manager.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.

• Brand Name: PRLNE BLU 2X24IN 7-0 D/A BV175-6 MP
• Common Device Name: SUTURE, NONABSORBABLE, SYNTHETIC, POLYPROPYLENE
• Manufacturer (Section D): ETHICON INC.; 1000 route 202; raritan NJ 08869
• Manufacturer (Section G): ETHICON INC.-JUAREZ; calle durango #2751; ciudad juarez 32575 ; MX 32575
• Manufacturer Contact: orla o'mahony ; 1000 route 202; raritan, NJ 08869 ; 3035526892
• MDR Report Key: 23569136
• Report Number: 2210968-2025-12879
• Device Sequence Number: 10129392
• Product Code: GAW
• UDI-Device Identifier: 10705031046016
• UDI-Public: (01)10705031046016(17)300228(10)106XST
• Combination Product (Y/N): N
• Initial Reporter State: AL
• Initial Reporter Country: US
• PMA/510(K) Number: K133356
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Health Professional,User Facility
• Initial Reporter Occupation: Other
• Type of Report: Initial
• Report Date (Section B): 11/17/2025

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
• Operator of Device: Health Professional
• Device Catalogue Number: M8737
• Device Lot Number: 106XST
• Was Device Available for Evaluation?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 10/22/2025
• Initial Report FDA Received Date: 11/17/2025
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 03/07/2025
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Unknown