FDA Adverse Event
Injury
Summary report: N
ICLED SURGICAL SUTURE SYSTEM
MDR report key: 20096405
·
Received August 29, 2024
Report
- Report Number
- 1222993-2024-00045
- Event Type
- Injury
- Date Received
- August 29, 2024
- Date of Event
- July 31, 2024
- Report Date
- August 29, 2024
- Manufacturer
- CYNOSURE LLC
- Product Code
- GAT
- PMA / PMN Number
- K230510
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
CYNOSURE'S CLINICAL TEAM INVESTIGATED THE EVENT AND DETERMINED IT WAS INCONCLUSIVE. PUSTULES AND BREAKOUT WAS OBSERVED ADJACENT TO THE INVOLVED UNDERMINED REGIONS OF MYELLEVATE SUTURE. PER CYNOSURE'S KOL PHYSICIAN: IT APPEARS TO BE A CONTACT INFECTION COMPLICATED WITH A SUPERFICIAL INFECTION. THE AREA OF INFECTIONS IS MOSTLY OUTSIDE THE UNDERMINED SKIN. PATIENT WAS GIVEN DOXYCYCLINE AND BACTROBAN AS MEDICAL INTERVENTION. THIS IS A REPORTABLE ADVERSE EVENT DUE TO PATIENT RECEIVING MEDICAL INTERVENTION.
Description of Event or Problem · 0
IT WAS REPORTED THAT PATIENT EXPERIENCED BREAKOUT WITH PUSTULES SPREADING ON THE SUBMENTAL AREA 2 DAYS POST MYELLEVATE PROCEDURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1523094 | ICLED SURGICAL SUTURE SYSTEM | ICLED SURGICAL SUTURE SYSTEM | GAT | CYNOSURE LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Required Intervention |