FDA Adverse Event
Injury
Summary report: N
ETHICON VICRYL SUTURE
MDR report key: 28536
·
Received November 2, 1995
Report
- Report Number
- 28536
- Event Type
- Injury
- Date Received
- November 2, 1995
- Report Date
- October 30, 1995
- Manufacturer
- ETHICON, INC.
- Product Code
- GAM
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- MA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
PT WAS RE-ADMITTED ON 9/21 WITH A SUPERFICIAL WOUND INFECTION AT SURGERY SITE (SURGERY DATE 8/30/95). INFECTION ATTRIBUTED TO "SUTURE FAILURE AND/OR REJECTION."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ETHICON VICRYL SUTURE | SUTURE MATERIAL | GAM | ETHICON, INC. | EE9925 DM9948 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 37 YR | Hospitalization |