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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON INC. VCL+ VIO 27IN 4-0 S/A SH-1; SUTURE, ABSORBABLE, SYNTHETIC

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ETHICON INC. VCL+ VIO 27IN 4-0 S/A SH-1; SUTURE, ABSORBABLE, SYNTHETIC Back to Search Results
Catalog Number VCP310H
Medical Device Problem Code Delivered as Unsterile Product (1421)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/07/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that a patient underwent a maxillofacial tumor resection procedure on (b)(6) 2026 and suture was used.The primary package of the suture was found damaged prior to use.Changed to another one to complete the surgery.No adverse patient consequences were reported.
 
Additional Manufacturer Narrative
Product complaint # (b)(4).The following information was requested, but unavailable: was the sterility of the device compromised? received information as following from sales rep via phone; please refer to attached photo, other information requested is unknown.Investigation summary: the product was returned to ethicon for evaluation.One unopened sample was received for analysis.Product code vcp310h.During the inspection of the returned sample, a hole was noted to be outside to in caused by an unknown object trespassing on the complete foil package.This hole is affecting product integrity.Additionally, blue ink and a tear was observed in proximity to the hole.To complement this assessment, one photograph was provided that visually documented the hole in the foil packet.Due to the damage found on the device, the complaint is confirmed.The condition of the package is indicative of handling and storage issues that occurred outside of ethicon control.As part of the ethicon quality process, all devices are manufactured, inspected, and released to approved specifications.Additional complaint information monitoring for potential safety signals is conducted through complaint trending as part of post-market surveillance.A manufacturing record evaluation was performed for the finished device a manufacturing record evaluation was performed for the finished device and no non conformances / manufacturing irregularities related to the malfunction were identified.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.
 
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Brand Name
VCL+ VIO 27IN 4-0 S/A SH-1
Common Device Name
SUTURE, ABSORBABLE, SYNTHETIC
Manufacturer (Section D)
ETHICON INC.
1000 route 202
raritan NJ 08869
Manufacturer (Section G)
ETHICON INC.-SAN ANGELO
3348 pulliam st
san angelo TX 76905
Manufacturer Contact
orla o'mahony
1000 route 202
raritan, NJ 08869
3035526892
MDR Report Key24236067
Report Number2210968-2026-01206
Device Sequence Number21399944
Product Code GAM
UDI-Device Identifier10705031052178
UDI-Public(01)10705031052178(17)280331(10)107KE9
Combination Product (Y/N)Y
Initial Reporter CountryCH
PMA/510(K) Number
K132580
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
Report Date (Section B) 02/02/2026
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 NumberVCP310H
Device Lot Number107KE9
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/26/2026
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/08/2026
Initial Report FDA Received Date02/02/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured04/07/2025
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 Number1
Patient SexUnknown
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