FDA Adverse Event Other Summary report: N

TELEFLEX MEDICAL POLYPROPYLENE SUTURE 743 TC

MDR report key: 2414942 · Received January 4, 2012

Report

Report Number
2414942
Event Type
Other
Date Received
January 4, 2012
Date of Event
February 21, 2011
Report Date
February 23, 2011
Manufacturer
TELEFLEX MEDICAL
Product Code
GAW
Product Problem
Yes
Report Source
User Facility report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PT WAS HAVING VAGINAL HYSTERECTOMY, CULDOPLASTY, ANTERIOR BILATERAL SACROSPINOUS FIXATION, ANTERIOR AND POSTERIOR REPAIR AND CYSTOSCOPY. USING THE BOSTON SCIENTIFIC CAPIO DEVICE DURING SACROSPINAOUS FIXATION PORTION, SURGEON PLACED SUTURE THROUGH THE LEFT SACROSPINOUS LIGAMENT AND PULLED ON THE SUTURE. WHILE DOING SO, THE BULLET OF THE SUTURE AVULSED. DESPITE USED OF RETRACTORS AND HEADLAMP, BULLET TIP COULD NOT BE ISOLATED. SURGEON OPTED TO LEAVE IN PLACE TO AVOID FURTHER COMPLICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TELEFLEX MEDICAL POLYPROPYLENE SUTURE 743 TC POLYPROPYLENE SUTURE 743 TAPER CUT GAW TELEFLEX MEDICAL 823-124

Patients

Seq Age Sex Outcome Treatment
1 54 YR Other