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Product complaint # (b)(4).This is a combination product, and the event has been reviewed for both the suture and the triclosan.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.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.Additional information was requested, and the following was obtained:
we do not have information on any additional medications or surgical interventions, as the patient received further treatment at another hospital, where the wound dehiscence was identified.Therefore, we are unable to confirm the treatment provided.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 surgeon¿s experience with this stratafix suture?
what was the cause of the complication?
please provide the patient's weight, bmi at the time of index procedure.Name of index surgical procedure?
the diagnosis and indication for the index surgical procedure?
were any concomitant procedures performed?
on what tissue was the suture used?
what was the tissue condition (normal, thin, calcified, fragile, diseased)?
for the original intended closure, how were all layers closed?
what symptoms did the patient experience following the index surgical procedure? onset date?
when beginning the running suture, did the surgeon take the first pass above or adjacent to the incision in a direction away from the incision?
after taking the first pass away from the incision, did the surgeon then take a pass of tissue perpendicular to the initial pass? if so, how many perpendicular passes?
did the surgeon then proceed with wound closure in the opposite direction of the first pass?
was the fixation tab seated against the tissue at the initiation of suture use during the index procedure?
were two reverse stitches performed across the incision prior to closure?
did the suture break? if so, where was the break noted (termination, middle, end)?
did the suture pull out of the tissue?
did the suture barbs not engage in the tissue post op?
were there any precipitating patient stress factors that led to the sutures breaking or pulling out of the tissue?
are photos available?
did the operating surgeon observe any suture deficiency or anomaly before, during, after the suture placement or during any re-operation?
other relevant patient history/concomitant medications?
what is the physician¿s opinion as to the etiology of or contributing factors to this event?
what is the patient's current status?
surgeon¿s name?
will product be returned? if so, please provide the return date and tracking information.
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