FDA Adverse Event Malfunction Summary report: N

STRATAFIX

MDR report key: 25032401 · Received April 29, 2026

Report

Report Number
2210968-2026-04623
Event Type
Malfunction
Date Received
April 29, 2026
Date of Event
April 12, 2026
Report Date
April 29, 2026
Manufacturer
ETHICON, INC.
Product Code
NEW
UDI-DI
10705031236295
PMA / PMN Number
K150670
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TW
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

PRODUCT COMPLAINT # (B)(4). THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803, PART 4 SUBPART B. THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY ETHICON, OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, ETHICON, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE. A MANUFACTURING RECORD EVALUATION WAS PERFORMED FOR THE FINISHED DEVICE LOT, AND NO NON-CONFORMANCES WERE IDENTIFIED. ATTEMPTS HAVE BEEN MADE TO RETRIEVE THE DEVICE. TO DATE THE DEVICE HAS NOT BEEN RETURNED. IF THE DEVICE OR FURTHER DETAILS ARE RECEIVED AT A LATER DATE A SUPPLEMENTAL MEDWATCH WILL BE SENT. ADDITIONAL INFORMATION WAS REQUESTED, AND THE FOLLOWING WAS OBTAINED VIA: ¿ IS THE PRODUCT AVAILABLE TO BE RETURNED FOR EVALUATION? IF YES, PLEASE DOCUMENT THE SHIPMENT TRACKING NUMBER IN NOTES OR RMAO SECTIONS. ACCORDING TO THE INFORMATION THE REPORTER INPUT, THERE IS NO PRODUCT TO BE RETURNED.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON (B)(6) 2026 AND BARBED SUTURE WAS USED. DURING THE PROCEDURE, THE CUSTOMER'S STITCHES BROKE WHILE USING OUR PRODUCT. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED. SFXSPI PDS+ UNI VIO 18IN 4-0 SA PS-2 PMP (SXPP1B113): UNKNOWN. SFXSPI PDS+ UNI VIO 18IN 4-0 SA PS-2 PMP (SXPP1B113): LOT CODE/LOT CODE: 100XJU. LIST OF OTHER J&J PRODUCTS (NON-CUSTOMER COMPLAINT PRODUCTS) USED IN THE CASE SURGERY. HAS THERE BEEN A PATIENT OR USER INJURY REPORT? NO. ARE THERE ANY NOTICEABLE DELAYS? NO. IF AVAILABLE, PROVIDE THE PRODUCT ORDER NUMBER (PO).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
557623 STRATAFIX SUTURE, SURGICAL, ABSORBABLE, POLYDIOXANONE NEW ETHICON, INC. 100XJU 10705031236295

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown