BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SUGRIPRO 4/0 18 BLUE C-13 05G

    MDR report key: 3131053 · Received May 21, 2013

    Report

    Report Number
    2647580-2013-00284
    Event Type
    Injury
    Date Received
    May 21, 2013
    Report Date
    April 23, 2013
    Manufacturer
    COVIDIEN, FORMERLY USSC
    Product Code
    GAW
    PMA / PMN Number
    K954808
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4).

    Description of Event or Problem · 1

    ACCORDING TO THE REPORTER: THE CUSTOMER REPORT: COMPLETED SURGERY AND SKIN SUTURED NEEDLE FOLLOWS THE THREAD: BEGINNING WOUND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    226179 SUGRIPRO 4/0 18 BLUE C-13 05G SURGIPRO GAW COVIDIEN, FORMERLY USSC T0J0088MV

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Other