BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MAXON #1 SUTURE MATERIAL

    MDR report key: 171366 · Received June 4, 1998

    Report

    Report Number
    MW1013922
    Event Type
    Injury
    Date Received
    June 4, 1998
    Date of Event
    June 3, 1998
    Report Date
    June 4, 1998
    Manufacturer
    DAVIS & GECK, INC. AN AMERICAN CYANAMID CO.
    Product Code
    GAM
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    TRAUMA PT SURGICALLY REPAIRED 05/30/98 EXPERIENCED SUTURE BREAK AND ABDOMINAL EVISCERATION. PT RETURNED TO SURGERY 6/3/98 FOR RESUTURING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAXON #1 SUTURE MATERIAL Implant SUTURE MATERIAL GAM DAVIS & GECK, INC. AN AMERICAN CYANAMID CO. * 942708 & 954281

    Patients

    Seq Age Sex Outcome Treatment
    1 * Life Threatening| R