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It was reported that a patient underwent an unknown procedure on an unknown date and barbed suture was used.The stitches tore postoperatively, which is why a revision was necessary.The patient is all good, because capsule has been re-sewn.Additional information has been 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.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:
what is the status/outcome of the patient/user after the event? ## all good, because capsule has been re-sewn.***
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:
did the patient experience a wound dehiscence?
did the stratafix suture break? if so, where was the break noted (termination, middle, end)?
can you describe the appearance of the stratafix suture during second procedure?
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.Date and name of index surgical procedure?
the diagnosis and indication for the index surgical procedure?
were any concomitant procedures performed?
what symptoms did the patient experience following the index surgical procedure? onset date?
what was the initial approach for the index surgical procedure? (open, laparoscopic or other)?
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?
please describe any medical/surgical intervention required for this suture event including dates and results.Did the operating surgeon observe any suture deficiency or anomaly before, during, after the suture placement or during any re-operation?
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?
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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