FDA Adverse Event Injury Summary report: N

MONOCRYL PLUS ANTIBACTERIAL SUTURES

MDR report key: 1192782 · Received October 8, 2008

Report

Report Number
2210968-2008-00967
Event Type
Injury
Date Received
October 8, 2008
Date of Event
January 1, 2008
Report Date
September 8, 2008
Manufacturer
ETHICON, INC.
Product Code
GAN
PMA / PMN Number
K050845
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE ACTUAL DEVICE ASSOCIATED WITH THIS EVENT IS NOT KNOWN. INTERNATIONAL AFFILIATE REPORTS THE FOLLOWING POSSIBLE PRODUCTS: LOT: UNK. LOT: AA6998, MFG: 01/01/2008, EXP: 01/31/2013. LOT: ABM721, MFG: 02/01/2008, EXP: 01/31/2013. LOT: ZMK416, MFG: 11/01/2007, EXP: 07/31/2012. CONCLUSION: A REVIEW OF THE BATCH MANUFACTURING RECORDS WAS CONDUCTED. THIS REVIEW DID NOT IDENTIFY ANY NON-CONFORMANCES AND THE BATCH MET ALL STERILIZATION RELEASE CRITERIA. NO CONCLUSION CAN BE DRAWN AT THIS TIME. SHOULD ADDITIONAL INFORMATION BE OBTAINED, A SUPPLEMENTAL 3500A FORM WILL BE SUBMITTED ACCORDINGLY.

Description of Event or Problem · 1

INTERNATIONAL CUSTOMER REPORTED THAT A PATIENT PRESENTED WITH AN INFLAMMATION OF THE SUTURE LINE AT AN UNSPECIFIED TIME FOLLOWING A THYROIDECTOMY. ADDITIONAL INFORMATION WAS REQUESTED; NO FURTHER DETAILS WERE PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MONOCRYL PLUS ANTIBACTERIAL SUTURES SUTURE, ABSORBABLE GAN ETHICON, INC. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Other