MAUDE Adverse Event Report: ETHICON INC. VCL+ VIO 12X18IN 3-0 NON NDL; SUTURE, ABSORBABLE, SYNTHETIC

Model Number	VCP104G
Medical Device Problem Code	Component Incompatible (1108)
Health Effect - Clinical Code	No Consequences Or Impact To Patient (2199)
Type of Reportable Event	Malfunction
Additional 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.
Event or Problem Description
It was reported that a patient underwent and unknown surgery on an unknown date and suture was used.During the procedure, it was found that there had been a different suture in the package.There were no adverse consequences to the patient.No additional information was provided.

• Brand Name: VCL+ VIO 12X18IN 3-0 NON NDL
• Common Device Name: SUTURE, ABSORBABLE, SYNTHETIC
• Manufacturer (Section D): ETHICON INC.; p.o. box 151, route 22 west; somerville NJ 08876
• MDR Report Key: 9910019
• Report Number: 2210968-2020-02504
• Device Sequence Number: 14267350
• Product Code: GAM
• UDI-Device Identifier: 10705031051393
• UDI-Public: 10705031051393
• Combination Product (Y/N): N
• Initial Reporter Country: JA
• PMA/510(K) Number: K032420
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: company representative,foreig
• Initial Reporter Occupation: Other
• Type of Report: Initial
• Report Date (Section B): 03/05/2020

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 Model Number: VCP104G
• Device Catalogue Number: VCP104G
• Was Device Available for Evaluation?: No
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 03/05/2020
• Initial Report FDA Received Date: 04/01/2020
• Patient Sequence Number: 1