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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON INC. PRLNE BLU 24IN 7-0 D/A BV175-8 EP; SUTURE, NONABSORBABLE, SYNTHETIC

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ETHICON INC. PRLNE BLU 24IN 7-0 D/A BV175-8 EP; SUTURE, NONABSORBABLE, SYNTHETIC Back to Search Results
Catalog Number EP8747H
Medical Device Problem Codes Break (1069); Material Twisted/Bent (2981)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/03/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Product complaint # (b)(4) date sent to the fda: 12/1/2025.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: 1.How long was the delay? please specify in minutes.The estimated additional surgery time related to the event was about 2 minutes.2.Were there any unexpected outcomes or complications as a result of the prolonged surgery time? there were no complications or adverse outcomes to the patient as a result of the prolonged surgery time.The patient is doing very well post-operatively.3.What is the source of information for the queries above (e.G., answered by the physician / provided from knowledge as you were present in the case) the above information was provided by the cardiothoracic surgeon who performed the procedure.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.The following information was reported: if other, describe while anastomosis in the cabg procedure, was surgery delayed due to the reported event? unknown, was procedure successfully completed? unknown, were fragments generated? unknown, if yes, were they removed easily without additional intervention? unknown, patient status/ outcome / consequences no, patient consequence description/was there a clinical outcome experienced by the patient (infection, inflammation, etc.)? patient remained stable with no adverse clinical outcome, was other medical intervention (e.G.X-rays, additional procedures, prescriptions, otc, revision) required: unknown, is the patient part of a clinical study unknown, (b)(4), device property of hospital, device in possession of (b)(6).
 
Event or Problem Description
It was reported that a patient underwent a cabg procedure on (b)(6) 2025 and suture was used.During a coronary artery bypass graft (cabg) procedure, the suture snapped in the middle of the anastomosis.A total of three (3) sutures were used, all of which experienced breakage during use.Additionally, the needle was observed to bend while being held with the needle holder.The surgeon managed to complete the anastomosis despite the repeated suture snapping and needle deformation.The incident caused procedural delay and inconvenience to the surgical team.There were no patient consequences reported.Additional information was requested.
 
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Brand Name
PRLNE BLU 24IN 7-0 D/A BV175-8 EP
Common Device Name
SUTURE, NONABSORBABLE, SYNTHETIC
Manufacturer (Section D)
ETHICON INC.
1000 route 202
raritan NJ 08869
Manufacturer (Section G)
ETHICON INC.-SAN LORENZO PR
road 183, km 8.3
san lorenzo PR 00754
*   00754
Manufacturer Contact
orla o'mahony
1000 route 202
raritan, NJ 08869
3035526892
MDR Report Key23680216
Report Number2210968-2025-13311
Device Sequence Number13200018
Product Code GAW
UDI-Device Identifier10705031206762
UDI-Public(01)10705031206762(17)271031(10)SMBAHE
Combination Product (Y/N)N
Initial Reporter CountryMY
PMA/510(K) Number
K133356
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional
Initial Reporter Occupation Other
Type of Report Initial
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 NumberEP8747H
Device Lot NumberSMBAHE
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/03/2025
Initial Report FDA Received Date12/01/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured11/01/2022
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 Number1
Patient SexUnknown
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