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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON, INC. PRONOVA; SUTURE, NON-ABSORBABLE, SYNTHETIC, POLYETHYLENE

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ETHICON, INC. PRONOVA; SUTURE, NON-ABSORBABLE, SYNTHETIC, POLYETHYLENE Back to Search Results
Catalog Number PNM3709
Medical Device Problem Code Device Contaminated During Manufacture or Shipping (2969)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that a patient underwent an unknown surgery on an unknown date and suture was used.During the procedure, it was reported by a sales rep that, during an unknown surgery, it was found that there was a foreign matter in each package when the package was opened after the product was delivered to the hospital.It was not a control release needle.This event was found before use.Another product was used to complete the case.When we send the sample to you, we will let you know its return date and tracking number.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).
 
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Brand Name
PRONOVA
Common Device Name
SUTURE, NON-ABSORBABLE, SYNTHETIC, POLYETHYLENE
Manufacturer (Section D)
ETHICON, INC.
1000 route 202
raritan NJ 08869
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 Key25164765
Report Number2210968-2026-05279
Device Sequence Number10474213
Product Code GAW
UDI-Device Identifier10705031246362
UDI-Public(01)10705031246362(17)300531(10)1091PL
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K001625
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,Followup
Report Date (Section B) 06/23/2026
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 NumberPNM3709
Device Lot Number1091PL
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 05/01/2026
Supplement Date Received by Manufacturer05/19/2026
06/02/2026
Initial Report FDA Received Date05/13/2026
Supplement Report FDA Received Date06/02/2026
06/23/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured06/11/2025
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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