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Product complaint # (b)(4).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.D4: udi: as the lot number for the device involved in the event was not provided, the full udi is currently not available.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.The single complaint was reported with multiple events.There are no additional details regarding the additional patient events.Attempts are being made to obtain the information.To date no response has been provided.If 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.What is the current status of the patient? could you tell me if there was a prescription for steroids or antibiotics for the patient¿s recovery? if yes, please provide medication name, route and dose.If product was removed: what was the appearance of the suture during the removal? if re-suture/re-closure was performed: was reoperation necessary to remove the suture and re-close the wound? was the suture trimmed in physician¿s office? was the suture removed in a routine post-op procedure? was the suture removed in a reoperation procedure? could you please provide the lot number? 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.Additional information was requested, and the following was obtained: the healing issue involved knee and hip prostheses.This problem has not been seen before with uncoated vicryl.In about six months since we gradually replaced the vicryl yarn set with the vicryl plus i have noticed several healing incidents that were previously exceptional.There has been no change in the intraoperative environment at our level or in the way i close patients.I have seen occurring much more frequently because it was exceptional (less than once a year) suture rejections of the subcutaneous thread on the closure of my hip or knee prostheses.This is not a single patient but several patients.The episode resolved favorably so far, each time with an expulsion of the thread in general between the 4th and 8th weeks.So, there is not a single lot number incriminated.
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It was reported that a patient underwent an orthopedic procedure on an unknown date and suture was used for closure.Post-op, around the 4th week after the procedure, healing of the prostheses (knee or hip) evolved badly.It was opined that the suture may be poorly absorbed and was evacuated to the surface creating a micro abscess.The patient had delayed healing and stress/evolution of ciatrization.It was reported there was no harm to the patient.Additional information was requested.
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