| Brand Name | ETHICON |
| Common Device Name | Suture, Absorbable, Natural |
| Manufacturer (Section D) |
| Ethicon Inc. |
| 1000 route 202 |
| raritan NJ 08869 |
|
| Manufacturer (Section G) |
| Ethicon Inc.-Juarez |
| calle durango #2751 |
|
| ciudad juarez 32575 |
|
MX
32575
|
|
| Manufacturer Contact |
|
orla
o'mahony
|
| 1000 route 202 |
| raritan, NJ 08869
|
|
+1(303)552-6892
|
|
| MDR Report Key | 50221211 |
| Report Number | 2210968-2026-08013 |
| Device Sequence Number | 10346201 |
| Product Code |
GAL
|
| UDI-Device Identifier | 10705031010475 |
| UDI-Public | (01)10705031010475(17)290930(10)10458U |
| Combination Product (Y/N) | N |
| Initial Reporter State | IN |
| Initial Reporter Country | US |
| PMA/510(K) Number | K946173 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/10/2026 |
| 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 | 770G |
| Device Lot Number | 10458U |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 07/16/2026 |
| Supplement Date Received by Manufacturer | 08/16/2026
|
| Initial Report FDA Received Date | 08/12/2026 |
| Supplement Report FDA Received Date | 09/10/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 10/18/2024 |
| 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 |
|
|