BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ETHICON INC., JOHNSON & JOHNSON

    MDR report key: 271360 · Received March 23, 2000

    Report

    Report Number
    271360
    Event Type
    Injury
    Date Received
    March 23, 2000
    Date of Event
    September 5, 1999
    Report Date
    October 27, 1999
    Manufacturer
    *
    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 DEHISCENCE - 09/09/1999.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON INC., JOHNSON & JOHNSON SUTURE GAM * #1 PDS, LOOPED MA 9780

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Required Intervention