| Catalog Number |
PDP777D |
| Medical Device Problem Code |
Adverse Event Without Identified Device or Use Problem (2993)
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| Health Effect - Clinical Codes |
Abscess (1690); Unspecified Infection (1930)
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Type of Reportable Event
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Serious Injury
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Additional Manufacturer Narrative
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Product complaint # (b)(4).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.D4: udi: as the lot number for the device involved in the event was not provided, the full udi is currently not available.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.Additional information was requested, and the following was obtained: the patient developed an infection after osteotomy.The patient is currently hospitalized.The doctor believes that a mono-filament is tingling and tough on tissue, which may have contributed to the symptoms.Attempts are being made to obtain the following information.To date no response has been provided.If further details are received at a later date a supplemental medwatch will be sent.Please provide the patient's demographic information including age, gender, weight, bmi at the time of index procedure please clarify the procedure: is the procedure a total knee arthroplasty or an osteotomy? date of index surgical procedure? the diagnosis and indication for the index surgical procedure? what was the initial approach for the index surgical procedure? (open, laparoscopic or other)? what was the tissue condition (normal, thin, calcified, fragile, diseased)? how was the suture placed (interrupted or continuous)? please describe the patient manifestations of the reported infection (location, severity, appearance, systemic or local infection).What is meant by ¿tingling and tough on tissue¿? please explain.Please provide the onset date/time of infection/abscess from the initial surgical procedure.Were there any pre-existing signs/symptoms of active infection prior to this surgical procedure? did the patient receive any prophylactic antibiotics pre-, intra- or post-operation? were cultures performed? if so, please provide the results.How much and what type of drainage is present in this wound? please describe any medical intervention performed including medication name and results.Were any pre-op cleansing procedures changed recently? if yes, please describe.Did the operating surgeon observe any suture deficiency or anomaly before, during, after the suture placement or during any re-operation? other relevant patient history/concomitant medications? what is the physician¿s opinion as to the etiology of or contributing factors to this event? what is the patient's current status? lot number? surgeon¿s name?.
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Event or Problem Description
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It was reported that a patient underwent a total knee arthroplasty on an unknown date and suture was used on subcutaneous tissue.Post-op, the patient developed an infection.When opening the affected area, it was found that the product caused a condition like a suture abscess.Wound irrigation was performed.The patient is currently hospitalized.It was stated that the surgeon opined that a mono-filament is tingling and tough on tissue, which may have contributed to the symptoms.Additional information was requested.
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Additional Manufacturer Narrative
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Product complaint # (b)(4) 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: e1.Additional information was requested, and the following was obtained: please provide the patient's demographic information including age, gender, weight, bmi at the time of index procedure.Unknown.Please clarify the procedure: is the procedure a total knee arthroplasty or an osteotomy? the procedure was an osteotomy.Date of index surgical procedure? unknown.The diagnosis and indication for the index surgical procedure? unknown.What was the initial approach for the index surgical procedure? (open, laparoscopic or other)? open approach.What was the tissue condition (normal, thin, calcified, fragile, diseased)? no special condition was reported.How was the suture placed (interrupted or continuous)? unknown.Please describe the patient manifestations of the reported infection (location, severity, appearance, systemic or local infection).Infection was observed post-operatively; upon reopening, the suture appeared to have developed a suture abscess-like condition in the subcutaneous layer.Severity and systemic involvement are unknown.What is meant by ¿tingling and tough on tissue¿? please explain.The physician indicated that monofilament sutures can feel prickly at the knot site and exert strong tension on tissue, which may have contributed to the symptoms.Please provide the onset date/time of infection/abscess from the initial surgical procedure.Unknown.Were there any pre-existing signs/symptoms of active infection prior to this surgical procedure? unknown.Did the patient receive any prophylactic antibiotics pre-, intra- or post-operation?unknown.Were cultures performed? if so, please provide the results.Unknown.How much and what type of drainage is present in this wound? unknown.Please describe any medical intervention performed including medication name and results.Unknown.Were any pre-op cleansing procedures changed recently? if yes, please describe.Unknown.Did the operating surgeon observe any suture deficiency or anomaly before, during, after the suture placement or during any re-operation? no other relevant patient history/concomitant medications? no what is the physician¿s opinion as to the etiology of or contributing factors to this event? the physician suspects that the characteristics of monofilament sutures, such as stiffness and localized pressure at knot sites, may have contributed to the development of the suture abscess.What is the patient's current status? the patient is currently hospitalized.Lot number? unknown.Surgeon¿s name? (b)(6).
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Search Alerts/Recalls
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