BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ETHICON, INC./JOHNSON & JOHNSON

    MDR report key: 271352 · Received March 23, 2000

    Report

    Report Number
    271352
    Event Type
    Injury
    Date Received
    March 23, 2000
    Date of Event
    August 27, 1999
    Report Date
    October 27, 1999
    Manufacturer
    ETHICON, INC./JOHNSON & JOHNSON
    Product Code
    GAM
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    NM, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SURGICAL WOUND INFECTION RESULTING IN NEED TO REOPEN WOUND WHICH WAS DRAINED & PACKED. WOUND HEALING BY SECONDARY INTENTION - 09/05/1999.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON, INC./JOHNSON & JOHNSON SUTURE GAM ETHICON, INC./JOHNSON & JOHNSON #1 PDS, LOOPED. MA9780, KL2818, MJ3757

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR Required Intervention