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Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.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 inc, or its employees that the report constitutes an admission that the product, ethicon inc 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: as the lot number for the device involved in the event was not provided, the full udi is currently not available.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.Please provide the patient's demographic information including age, gender, weight, bmi at the time of index procedure.Date of index surgical procedure?
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?
how was the suture placed (interrupted or continuous)?
how was the suture originally tied (multiple knots, square knot, etc.)?
what instruments were used to grasp the needle?
where was the needle grasped during use?
please confirm: did the needle break or did the suture break?
what was the size of the broken needle fragment?
where did the needle break (tip, middle, swage area)?
was the patient re-opened to retrieve the needle the same day as the initial procedure or on a different day? please clarify.Does the piece/device remain retained in the patient's tissue?
if the piece(s) were retained, where are they located/in what structure?
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?
lot number?
will product be returned? if so, please provide the return date and tracking information.
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