FDA Adverse Event
Malfunction
Summary report: N
1 CHROMIC GUT/ON/T - 25
MDR report key: 109535
·
Received July 8, 1997
Report
- Report Number
- 109535
- Event Type
- Malfunction
- Date Received
- July 8, 1997
- Date of Event
- April 21, 1997
- Report Date
- April 21, 1997
- Manufacturer
- *
- Product Code
- GAL
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- OH, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
TAH, BILATERAL URETERAL CATH INSERTION, LSO APPENDECTOMY WAS PERFORMED. DURING THE PROCEDURE, THE SUTURES CONTINUED TO BREAK AND FRAY, WHILE THE DR TRIED TO TIE OFF BLEEDERS. A DIFFERENT TYPE OF SUTURE WAS USED SUCCESSFULLY. THERE WAS AN EXTENDED OR TIME AS A RESULT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 1 CHROMIC GUT/ON/T - 25 Implant | GENERAL CLOSURE SUTURE | GAL | * | 546-73 | 941391 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 44 YR | Other |