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Product complaint # (b)(4).H3 photo investigation summary: this is an analysis for a photo submitted to ethicon for evaluation.During the visual analysis, the following was observed: the photo shows a needle with a broken tip being held by the user.Because of the needle's position, it is not possible to determine whether the needle has lost its original curvature.Based on the photo review, the event reported is confirmed, however no conclusion or root cause could be determined.Hands on device analysis may provide the additional evidence necessary to confirm the root cause of the reported event.Because the device was not returned our evaluation is limited.We value the opportunity to fully analyze the device upon its return.As part of ethicon quality process all devices are manufactured, inspected, and released to approved specifications.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.A manufacturing record evaluation was performed for the finished device lot, and no non-conformances were identified.The following information was requested, but unavailable: attempts have been made to retrieve the device.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 h11: was surgery delayed due to the reported event? --> yes, if yes, number of minutes: --> 5, action taken when event occurred? --> open other suture, was procedure successfully completed? --> yes, were fragments generated? --> no, if yes, were they removed easily without additional intervention? --> unknown, patient status/ outcome / consequences --> no, 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 -->none, device in possession of -->none.Additional information was requested, and the following was obtained via: it was reported that the needle tip bent during tissue penetration; however, the attached photograph appears to show a broken needle tip.Could you please provide further details about the issue reported with the product? the needle was completely bent, almost at a 90-degree angle.When they decided not to use it anymore, the scrub nurse took it, bent it slightly, and it broke.Were there any unexpected outcomes or complications resulting from the prolonged surgery time? yes, since it was stratafix, the reverse closure could not be performed, so another suture had to be opened.Which tissue was being sutured when the event occurred? vaginal cuff.Was additional dissection required in other organs/tissues other than the target tissue? no.Was there any change in the patient¿s postoperative care due to the prolonged procedure? no.Please provide the source or name of person providing answers to follow-up questions: (please refer to the attached mail) please provide the source or title of external person providing answers to follow-up: no.
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