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It was reported that a patient underwent an unknown procedure on (b)(6) 2026 and a barbed suture was used.Post-op, the patient developed an abdominal incisional hernia.It was stated that the situation will be monitored going forward, and depending on the condition, surgical repair may be necessary.The patient is currently under observation.It was opined by the doctor that they are unsure of the exact cause but commented that weight gain after the surgery might be a contributing factor.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: as the lot number for the device involved in the event was not provided, 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.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.Name of index surgical 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?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?
it was stated ¿surgical repair may be necessary¿.To date, has the patient undergone re-operation?
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?
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?
the following information was requested but unavailable:
please provide the lot number.
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