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It was reported that during laparoscopic endometriosis surgery on (b)(6) 2026 and a barbed suture was used.During the procedure, after the suture needle passed through the tissue and when suturing the endometrium, pulling off suture needle happened upon suture lifting and the needle fell into the abdominal cavity of the patient.It took more than 1 hour to find the needle in patient¿s abdominal cavity, and the surgical incision on the abdominal wall of the patient was enlarged.The patient was in normal condition currently.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.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.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?
please provide the patient's demographic information including age, gender, weight, bmi at the time of index procedure.The diagnosis and indication for the index surgical procedure?
were any concomitant procedures performed?
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?
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?
what instruments were used to grasp the needle?
where was the needle grasped during use?
please describe any medical/surgical intervention required for this suture event including dates and results.What tissue was enlarged and by how much was the incision enlarged to remove the needle? please specify
was additional dissection required in other tissues other than the target tissue? if yes, please describe.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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