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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON INC. SILK BLK 30IN 2-0 S/A FSLX; SUTURE, NONABSORBABLE, SILK

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ETHICON INC. SILK BLK 30IN 2-0 S/A FSLX; SUTURE, NONABSORBABLE, SILK Back to Search Results
Catalog Number 1689H
Medical Device Problem Code Device Contaminated During Manufacture or Shipping (2969)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/09/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Product complaint # (b)(4).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 inc, or its employees that the report constitutes an admission that the product, ethicon inc 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.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.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.Could you kindly perform and document the follow-up attempt for the product return? furthermore, please ensure that the shipment tracking number is recorded in the notes or rmao sections.The manufacturing records could not be reviewed as the batch/lot number is unknown.
 
Event or Problem Description
It was reported that a patient underwent an unknown procedure on (b)(6) 2025 and suture was used.Foreign body found upon opening of the packaging of the suture.Does not involve patient as item discard.Silk blk 30in 2-0 s/a fslx - 1689h (lot: 108b75) (1689h): not applicable.Silk blk 30in 2-0 s/a fslx - 1689h (lot: 108b75) (1689h): lot/batch number: 108b75.List any j&j products that were utilized during the case but did not contribute to the reported event.Not known.Was there any reported patient or user harm? no.Was there a significant delay? no.If available, provide the product order number (po).## ***.No adverse patient consequences were reported.Additional information was requested.
 
Additional Manufacturer Narrative
Product complaint # (b)(4).Date sent to the fda: 2/17/2026.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.H6 component code: g07002 no device problem found.H6 component code: c22 - photo analysis.Additional information: d9, h3, h6 a manufacturing record evaluation was performed for the finished device lot, and no non-conformances were identified.H3 investigational summary: the product was returned to eth for evaluation.Visual inspection revealed that one winding former with a needle suture combination outside the overwrap packaging.Product code 1689h.During the visual inspection of the sample, a foreign matter that appears to be a yellow strand interlaced and knotted in one of the silk suture.According to the sample condition, during the process of the visual inspection of the product, the knot on the suture was not detected.Three photographs were provided.The first image shows a paper lid, the second shows the packaging, and the third documents a winding former with a needle-suture combination that pertains to product code 1689h.Based on the information currently available, foreign matter and knotted suture were identified during the investigation of the sample received.This product issue will be addressed through the ethicon quality system.Additional complaint information monitoring for potential safety signals will be conducted through complaint trending as part of post-market surveillance.
 
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Brand Name
SILK BLK 30IN 2-0 S/A FSLX
Common Device Name
SUTURE, NONABSORBABLE, SILK
Manufacturer (Section D)
ETHICON INC.
1000 route 202
raritan NJ 09969
Manufacturer (Section G)
ETHICON INC.-SAN LORENZO PR
road 183, km 8.3
san lorenzo PR 00754
Manufacturer Contact
orla o'mahony
1000 route 202
raritan, NJ 08869
3035526892
MDR Report Key23995687
Report Number2210968-2026-00158
Device Sequence Number10184702
Product Code GAP
UDI-Device Identifier10705031002104
UDI-Public(01)10705031002104(17)300430(10)108B75
Combination Product (Y/N)N
Initial Reporter CountryMY
PMA/510(K) Number
K946173
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 01/07/2026
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 Number1689H
Device Lot Number108B75
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/11/2025
Supplement Date Received by Manufacturer01/20/2026
Initial Report FDA Received Date01/07/2026
Supplement Report FDA Received Date02/17/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured05/13/2025
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 Number1
Patient SexUnknown
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