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It was reported that a patient underwent an unknown robotic urological procedure on an unknown date and a barbed suture was used.Post-op, the patient had to go back to the or twice as closing with the suture, the same broke loose and created a fistula (dehiscence).Additional information was requested.
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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.D4: udi: the expiration date is currently not available.Therefore, the full udi is currently not available.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.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.It was reported that the patient returned to the operating room twice.Please confirm: for this patient who experienced a dehiscence, did 1 suture break post-op?
what was done at each operating room visit? please describe.Please provide a timeline of events for this patient that had a dehiscence?
what is the surgeon¿s experience with this stratafix suture?
please provide the patient's demographic information including age, gender, weight, bmi at the time of index procedure.What is the exact urologic robotic procedure?
date 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?
was the fixation loop secured to tissue at the initiation of suture use during the index procedure?
was at least one reverse stitch performed prior to closure?
did the patient experience a fistula?
did the patient experience a wound dehiscence?
if yes, what tissue dehisced?
onset date/time of dehiscence? (# post op days)
how was the dehiscence managed?
please describe any surgical intervention required for the wound dehiscence including date and findings.Please describe the appearance of the suture during the second procedure.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?
did the fixation feature not engage in the tissue?
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?.
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