FDA Adverse Event Malfunction Summary report: N

FFB BL CO-BR 2 HC-5 1N 38" STRYKER

MDR report key: 19734038 · Received July 12, 2024

Report

Report Number
3004365956-2024-00054
Event Type
Malfunction
Date Received
July 12, 2024
Date of Event
March 9, 2024
Report Date
June 14, 2024
Manufacturer
TELEFLEX MEDICAL
Product Code
GAT
UDI-DI
14026704603395
PMA / PMN Number
K063778
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

QN# (B)(4). UDI#: (B)(4).

Additional Manufacturer Narrative · 0

(B)(4). COMPLAINT VERIFICATION TESTING COULD NOT BE PERFORMED AS NO SAMPLE WAS RETURNED FOR ANALYSIS. A DEVICE HISTORY RECORD REVIEW WAS PERFORMED, AND NO RELEVANT FINDINGS WERE IDENTIFIED. WITHOUT THE DEVICE TO EVALUATE, THE COMPLAINT COULD NOT BE CONFIRMED, AND THE PROBABLE CAUSE COULD NOT BE DETERMINED FROM THE AVAILABLE INFORMATION. TELEFLEX WILL CONTINUE TO MONITOR AND TREND FOR REPORTS OF THIS NATURE.

Description of Event or Problem · 0

IT WAS REPORTED, "IN A TENORRHAPHY IN THE ACHILLES. AT THE TIME OF THE STITCH STEP, THE NEEDLE IS DISCONNECTED FROM THE FORCE FIBER SUTURE WITHOUT ANY FORCE HAVING BEEN EXERTED". NO PATIENT INJURY OR CONSEQUENCE REPORTED. THE PATIENT'S CURRENT CONDITION IS REPORTED AS "FINE".

Description of Event or Problem · 0

IT WAS REPORTED "IN A TENORRHAPHY IN THE ACHILLES. AT THE TIME OF THE STITCH STEP, THE NEEDLE IS DISCONNECTED FROM THE FORCE FIBER SUTURE WITHOUT ANY FORCE HAVING BEEN EXERTED". NO PATIENT INJURY OR CONSEQUENCE REPORTED. THE PATIENT'S CURRENT CONDITION IS REPORTED AS "FINE".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
834670 FFB BL CO-BR 2 HC-5 1N 38" STRYKER SUTURE, NONABSORBABLE, SYNTHE GAT TELEFLEX MEDICAL 74C2300160 14026704603395

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown