• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON INC. SFX SYM PDS+ VIO 18IN 1 S/A CTB-1; SUTURE, SURGICAL, ABSORBABLE

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

ETHICON INC. SFX SYM PDS+ VIO 18IN 1 S/A CTB-1; SUTURE, SURGICAL, ABSORBABLE Back to Search Results
Catalog Number SXPP1A301
Device Problem Failure To Adhere Or Bond (1031)
Patient Problem Not Applicable (3189)
Event Date 06/04/2018
Event Type  Injury  
Manufacturer Narrative
(b)(4).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: reoperation was performed, and the patient¿s condition became stable postoperatively.The stratafix which had been used during the primary operation could not be found on the sutured area during the reoperation.- the surgeon commented there is a possibility that the tissue was torn by the stratafix because the patient¿s tissue on which the stratfix was used was thinner than usual.What tissue was the stratafix symmetric suture used on? => no information.What was the condition of the tissue when the suture was placed (diseased, weak, healthy)? =>no information.How was the stratafix symmetric placed? =>no information.Was the fixation tab intact when the suture was placed in the patient? =>no information.Can you explain ¿stratafix which was used in primary surgery became loose¿? =>the stratafix was used in the primary operation.During the reoperation, it was found that the stratafix was loose.Was the air leakage persistent or new at leak at 3 weeks post op? =>the doctor found it at 3 weeks post op.What was the indication for the re-operation? =>it was found that the stratafix was loose.Air leak was observed.What was the date of the second procedure? => (b)(6) 2018.Could you describe the appearance of the suture during the second procedure? =>it was loose.Was the suture intact and pulled through the tissue? =>the doctor couldn't find the stratafix, so it wasn't retrieved from patient.Do you have the status of suture for evaluation? =>no.The suture was lost during the reoperation.What is the current condition of the patient? => the patient has been stable since the reoperation.".
 
Event Description
It was reported that a patient underwent right lower lobe resection procedure on (b)(6) 2018 and barbed suture was used.The patient complained of poor health and returned to the hospital three weeks post op.A second procedure was performed on (b)(6) 2018 and air leakage was observed.The surgeon observed that the barbed suture became loose and opined that there is a possibility that the tissue was torn by the barbed suture because the patient¿s tissue on which the suture was used was thinner than usual.The patient condition is reported as stable.Additional information has been requested.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
SFX SYM PDS+ VIO 18IN 1 S/A CTB-1
Type of Device
SUTURE, SURGICAL, ABSORBABLE
Manufacturer (Section D)
ETHICON INC.
p.o. box 151, route 22 west
somerville NJ 08876 0151
Manufacturer (Section G)
ETHICON INC.
avenida de las torres 7125
col salvacar
ciudad juarez 32604
MX   32604
Manufacturer Contact
darlene kyle
p.o. box 151, route 22 west
somerville, NJ 08876-0151
9082182792
MDR Report Key7639224
MDR Text Key112412689
Report Number2210968-2018-73846
Device Sequence Number1
Product Code NEW
UDI-Device Identifier10705031227712
UDI-Public10705031227712
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
K113004
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Reporter Occupation Other
Type of Report Initial
Report Date 06/06/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/26/2018
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue NumberSXPP1A301
Was Device Available for Evaluation? No
Date Manufacturer Received06/06/2018
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
-
-