BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ETHICON

    MDR report key: 1063112 · Received June 19, 2008

    Report

    Report Number
    MW5007363
    Event Type
    Injury
    Date Received
    June 19, 2008
    Date of Event
    March 13, 2008
    Report Date
    April 1, 2008
    Manufacturer
    JOHNSON AND JOHNSON HEALTHCARE
    Product Code
    GAO
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    NEEDLE TIP BROKE OFF DURING PROCEDURE. XRAY SHOWED 1.3CM IN MID PELVIS VERTICALLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON SUTURE NEEDLE GAO JOHNSON AND JOHNSON HEALTHCARE * *

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention