FDA Adverse Event
Injury
Summary report: N
SURGILENE 6-0
MDR report key: 18130
·
Received December 1, 1994
Report
- Report Number
- MW1004255
- Event Type
- Injury
- Date Received
- December 1, 1994
- Date of Event
- October 20, 1994
- Report Date
- November 22, 1994
- Manufacturer
- DAVIS & GECK, INC.
- Product Code
- GAW
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- NO INFORMATION
Narratives
Description of Event or Problem · 1
SUTURE FAILED FOLLOWING PT CAROTID ENDARTERECTOMY REQUIRING ADDITIONAL SURGERY TO REPAIR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SURGILENE 6-0 Implant | SUTURE | GAW | DAVIS & GECK, INC. | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR | Required Intervention |