BEUDAMED
    FDA Adverse Event Other Summary report: N

    *

    MDR report key: 339937 · Received June 28, 2001

    Report

    Report Number
    MW1022282
    Event Type
    Other
    Date Received
    June 28, 2001
    Date of Event
    May 18, 2001
    Report Date
    June 27, 2001
    Manufacturer
    *
    Product Code
    GAO
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    HYSTERECTOMY PERFORMED AT DIFFERENT HOSP. SECOND SURGERY REQUIRED DUE TO SUTURE FAILURE AND WOUND DEHISCENCE. SECOND SURGERY PERFORMED AT THIS HOSP. MFR UNK. SURGEON AT SECOND PROCEDURE NOTES "APPEARS TO BE PDS."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    29246 * PURPLE MONOFILAMENT SUTURE GAO * UNK *

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Other