FDA Adverse Event Malfunction Summary report: N

MONOPLUS VIOLET 4/0(1,5)70CM HR26 (M)RCP

MDR report key: 12335206 · Received August 18, 2021

Report

Report Number
3003639970-2021-00336
Event Type
Malfunction
Date Received
August 18, 2021
Date of Event
July 19, 2021
Report Date
October 8, 2021
Manufacturer
B. BRAUN SURGICAL, S.A.
Product Code
NEW
PMA / PMN Number
SEE H10
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

ANALYSIS AND RESULTS: THERE ARE TWO PREVIOUS COMPLAINTS OF THE SAME CODE-BATCH REGARDING THE SAME ISSUE (BOTH CLOSED AS CONFIRMED AFTER ANALYSIS). WE MANUFACTURED AND DISTRIBUTED IN THE MARKET (B)(4) UNITS OF THIS CODE-BATCH. THERE ARE NO UNITS IN OUR STOCK. WE HAVE RECEIVED ONE OPEN AND UNUSED SAMPLE WITH THE NEEDLE DETACHED FROM THE THREAD, AND THE THREAD IS STILL WOUND ON THE PACK. THE THREAD IS ESCAPED FROM THE NEEDLE. REVIEWED THE BATCH MANUFACTURING RECORD, THIS PRODUCT HAD A NORMAL PROCESS AND THE RESULTS DURING THE PROCESS FULFIL USP/EP AND B.BRAUN SURGICAL REQUIREMENTS. NEEDLE ATTACHMENT STRENGTH RESULTS BEFORE RELEASING THE PRODUCT WERE 1.08 KGF IN AVERAGE AND 0.49 KGF IN MINIMUM AND FULFILLED EP REQUIREMENTS. HOWEVER, CONSIDERING THE DEFECTIVE SAMPLE RECEIVED AND THE PREVIOUS CONFIRMED COMPLAINTS, WE CONSIDER THIS CASE AS CONFIRMED AS WELL. FINAL CONCLUSION: WE CONCLUDE THAT THE COMPLAINT IS CONFIRMED. WE APOLOGISE FOR ANY INCONVENIENCE THAT THIS ISSUE MAY HAVE CAUSED, AND THANK YOU FOR YOUR COLLABORATION. ACTIONS ON PRODUCT DISTRIBUTED OF THIS REFERENCE/BATCH: BASED ON THE CONCLUSION DERIVED FROM INVESTIGATION, IT IS NOT REQUIRED TO MAKE ACTIONS IN DISTRIBUTED PRODUCT. CORRECTIVE/PREVENTIVE ACTIONS: ACCORDING TO OUR INTERNAL PROCEDURES, THERE IS NO NEED TO ESTABLISH CORRECTIVE OR PREVENTIVE ACTIONS. NEVERTHELESS, THIS COMPLAINT IS RECORDED FOR TRENDING ANALYSIS TO ASSESS IF ACTIONS ARE NEEDED IN THE FUTURE.

Additional Manufacturer Narrative · 1

REPORTED DEVICE NOT MARKETED IN THE U.S., HOWEVER, SIMILAR DEVICES OR DEVICES THAT SHARE COMPONENTS, RAW MATERIALS, PROCESS METHODS OR OTHER TECHNOLOGICAL CHARACTERISTICS ARE REGISTERED WITHIN THE U.S. UNDER PMA/510(K) NUMBER: K031216. IF ADDITIONAL INFORMATION BECOMES AVAILABLE A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED AN ISSUE WITH MONOPLUS SUTURE. THE CLIENT REPORTED AN OUT OF THE BOX FAILURE: NEEDLE IS NOT CONNECTED TO THE THREAD. NO MORE INFORMATION HAS BEEN PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1237421 MONOPLUS VIOLET 4/0(1,5)70CM HR26 (M)RCP SYNTHETIC ABSORBABLE MONOFILAR SUTURE NEW B. BRAUN SURGICAL, S.A. C2024024 120491

Patients

Seq Age Sex Outcome Treatment
1