BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    COATED VICRYL

    MDR report key: 2823457 · Received November 2, 2012

    Report

    Report Number
    MW5027507
    Event Type
    Malfunction
    Date Received
    November 2, 2012
    Date of Event
    October 12, 2012
    Report Date
    November 1, 2012
    Manufacturer
    ETHICON, INC
    Product Code
    GAB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    SUTURE NEEDLE BROKE WHILE PT WAS BEING SUTURED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COATED VICRYL SUTURE NEEDLE GAB ETHICON, INC DA2377

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR