FDA Adverse Event Injury Summary report: N

DEXON II 6-0 45CM DR-10

MDR report key: 224448 · Received May 20, 1999

Report

Report Number
9681850-1999-00003
Event Type
Injury
Date Received
May 20, 1999
Report Date
April 23, 1999
Manufacturer
THE KENDALL CO., (UK) LTD.
Product Code
GAN
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE SUTURE WAS USED DURING A NEPHROPYELOPLASTY PROCEDURE. REPORTEDLY, THE SUTURE BROKE. THE SURGEON PERFORMED A RE-OPERATION TO CORRECT THE CONDITION. THE HOSPITAL HAS REPORTED THE PATIENT'S CONDITION IS SATISFACTORY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DEXON II 6-0 45CM DR-10 Implant SYNTHETIC ABSORBABLE SUTURE GAN THE KENDALL CO., (UK) LTD. NA 888948

Patients

Seq Age Sex Outcome Treatment
1 10 MO Required Intervention