FDA Adverse Event Injury Summary report: N

TULOC

MDR report key: 20407802 · Received October 9, 2024

Report

Report Number
1000408433-2024-00003
Event Type
Injury
Date Received
October 9, 2024
Date of Event
September 6, 2024
Report Date
October 9, 2024
Manufacturer
SOMATEX MEDICAL TECHNOLOGIES GMBH
Product Code
MIJ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D4: LOT NUMBER OF THE DEVICE NOT PROVIDED BY THE COMPLAINANT; THEREFORE, THE UDI, EXPIRATION AND MANUFACTURING DATES ARE NOT KNOWN. DEVICE HISTORY RECORD (DHR) REVIEW WAS UNABLE TO BE CONDUCTED FOR THE DISPOSABLE DEVICE AS THE IDENTIFICATION NUMBERS WERE NOT PROVIDED BY THE COMPLAINANT. H3: THE DEVICE INVOLVED IN THIS EVENT WAS NOT RETURNED FOR EVALUATION PURPOSES THEREFORE VISUAL AND FUNCTIONAL ANALYSIS OF THE PRODUCT COULD NOT BE PERFORMED. WE ARE UNABLE TO CONFIRM A RELATIONSHIP BETWEEN THE DEVICE AND THE ISSUE REPORTED. THE INFORMATION OBTAINED DURING COMPLAINT INVESTIGATION WILL BE INCLUDED IN OUR GLOBAL COMPLAINT TRENDING AND PRODUCT SURVEILLANCE WILL CONTINUE TO MONITOR COMPLAINTS OF THIS TYPE FOR ADVERSE TRENDS. IF THE PRODUCT IS RECEIVED OR ADDITIONAL INFORMATION IS OBTAINED, THE INVESTIGATION WILL BE REOPENED ACCORDINGLY PER STANDARD OPERATING PROCEDURE.

Description of Event or Problem · 0

IT WAS REPORTED THAT ON (B)(6) 2024, DURING A BREAST SURGERY THE TULOC WIRE CAME OUT OF TISSUE DURING THE SURGERY. THE PHYSICIAN REPORTED THAT HAD TO TAKE MORE TISSUE TO ENSURE THAT THE CANCER WAS REMOVED FROM THE BODY. NO OTHER INFORMATION AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
17334 TULOC TULOC MIJ SOMATEX MEDICAL TECHNOLOGIES GMBH

Patients

Seq Age Sex Outcome Treatment
1 NA Female Other