| Brand Name | ETHILON |
| Common Device Name | SUTURE, NONABSORBABLE, 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 Key | 25826360 |
| Report Number | 2210968-2026-07230 |
| Device Sequence Number | 15952367 |
| Product Code |
GAR
|
| UDI-Device Identifier | 10705031008588 |
| UDI-Public | (01)10705031008588(17)300531(10)109AZ3 |
| Combination Product (Y/N) | N |
| Initial Reporter State | IA |
| Initial Reporter Country | US |
| PMA/510(K) Number | K946173 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,User Facility,Company Representative |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/15/2026 |
| 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 Number | 698G |
| Device Lot Number | 109AZ3 |
| Was Device Available for Evaluation? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/25/2026 |
| Initial Report FDA Received Date | 07/15/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 06/25/2025 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|