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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON INC. PRLNE BLU 36IN 4-0 D/A BB; SUTURE, NONABSORBABLE, SYNTHETIC, POLYPROPYLENE

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ETHICON INC. PRLNE BLU 36IN 4-0 D/A BB; SUTURE, NONABSORBABLE, SYNTHETIC, POLYPROPYLENE Back to Search Results
Catalog Number 8581H
Medical Device Problem Code Dull, Blunt (2407)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Product complaint: (b)(4).Date sent to the fda: 3/5/2026.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.Additional information: d9, h3, h6; h3 investigational summary: the product received for analysis was 8581h.Visual inspection and metallurgical analysis were performed on the returned product.A failed suture needle, labeled as (b)(4), was submitted for fractographic evaluation.The component was identified as product code 8581h.It was requested that hsa assess the fracture mode of the failure.A fracture was observed at the tip of the needle.Two needles were received, only one of the needles contained a fracture.One side of the needle was received; the mating fracture surface was not provided for this evaluation.A scanning electron microscope was used to examine the fracture surfaces and surrounding area of the needle.The fracture surfaces were examined in multiple locations to determine the fracture mode.The evaluation of (b)(4) revealed the fracture was composed of microvoid coalescence, which is evidence of a ductile fracture mode.Mechanical damage observed coincidental to the fracture provides additional evidence that the failure was induced by mechanical deformation leading to ductile overload.This was a ductile fracture.Additional complaint information monitoring for potential safety signals is conducted through complaint trending as part of post-market surveillance.
 
Event or Problem Description
It was reported that a patient underwent an unknown surgery on an unknown date and suture was used.It was reported by a sales rep that, during an unknown surgery, when the product was used on carbonized tissue, the needle did not go through well.The issue may be due to the condition of the body site or possibly the product, so the hospital is requesting an investigation.The clinical department and surgical site are currently unknown.It was not a control release needle.Another product was used to complete the case.During visual inspection of the returned sample, significant marks could be observed on the body needles.The tip of the needles was examined and one was broken at the tip area.While the other needle no issues related to breakage needle were noted during the evaluation.The sample will be shipped to hsa for further analysis due to the needle breakage.Further details are not provided from the hp.No adverse patient consequences were reported.Additional information was requested.
 
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.Additional information was requested, and the following was obtained via: please provide the lot number.Unk please perform and document the follow up attempt for product return.Please document the shipment tracking number in notes or rmao sections.We regularly contact with sales rep about the device returning.Provide the source or name and title of external person providing answers to follow-up (external person submitting answers to sales rep or loc/bq).(b)(6).The manufacturing records could not be reviewed as the batch/lot number is unknown.H3 investigation summary: the product was returned to eth for evaluation.Visual inspection revealed that two needle suture pieces were received for analysis.The product code 8581h is double armed.During visual inspection of the returned sample, significant marks could be observed on the body needles.The tip of the needles was examined and one was broken at the tip area.While the other needle no issues related to breakage needle were noted during the evaluation.The sample will be shipped to hsa for further analysis due to the needle breakage.As part of eth quality process all devices are manufactured, inspected, and released to approved specifications.Per the condition of the returned sample, no conclusion could be reached as to what caused the reported complaint.Additional complaint information monitoring for potential safety signals is conducted through complaint trending as part of post market surveillance.D4: udi: as the lot number for the device involved in the event was not provided, the full udi is currently not available.
 
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Brand Name
PRLNE BLU 36IN 4-0 D/A BB
Common Device Name
SUTURE, NONABSORBABLE, SYNTHETIC, POLYPROPYLENE
Manufacturer (Section D)
ETHICON INC.
1000 route 202
raritan NJ 08869
Manufacturer (Section G)
ETHICON INC.
1000 route 202
raritan 08869 0151
Manufacturer Contact
orla o'mahony
1000 route 202
raritan, NJ 08869
3035526892
MDR Report Key24335466
Report Number2210968-2026-01648
Device Sequence Number9754880
Product Code GAW
UDI-Device Identifier10705031017368
UDI-Public10705031017368
Combination Product (Y/N)N
Initial Reporter CountryJA
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,Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 02/13/2026
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 Number8581H
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/06/2026
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/16/2026
Supplement Date Received by Manufacturer03/04/2026
Initial Report FDA Received Date02/13/2026
Supplement Report FDA Received Date03/05/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
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
Patient Sequence Number1
Patient SexUnknown
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