FDA Adverse Event Other Summary report: N

SUTURE NEEDLE

MDR report key: 27780 · Received November 2, 1995

Report

Report Number
MW1007552
Event Type
Other
Date Received
November 2, 1995
Date of Event
October 26, 1995
Report Date
October 26, 1995
Manufacturer
ETHICON, INC.
Product Code
GAB
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
GA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

DURING AN ENT PROCEDURE IN THE ORAL CAVITY, THE SUTURE NEEDLE BROKE AND THE NEEDLE COULD NOT BE RETRIEVED FROM THE OPERATIVE SITE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SUTURE NEEDLE SUTURE NEEDLE GAB ETHICON, INC. 2-0 J-417 HA9345

Patients

Seq Age Sex Outcome Treatment
1 20 YR Other