BEUDAMED
    FDA Adverse Event Injury Summary report: N

    COVIDIEN

    MDR report key: 2452308 · Received February 9, 2012

    Report

    Report Number
    MW5024227
    Event Type
    Injury
    Date Received
    February 9, 2012
    Date of Event
    November 16, 2011
    Report Date
    February 9, 2012
    Manufacturer
    COVIDIEN VALLEYLAB
    Product Code
    GAP
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SUTURE UNRAVELED WHILE TYING IN FEEDING TUBE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COVIDIEN WAX COATED BRAIDED SILK SUTURE GAP COVIDIEN VALLEYLAB GS-833 D1E1006GX

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR Disability