BEUDAMED
    FDA Adverse Event Other Summary report: N

    ETHICON, INC.

    MDR report key: 35681 · Received August 13, 1996

    Report

    Report Number
    35681
    Event Type
    Other
    Date Received
    August 13, 1996
    Date of Event
    August 12, 1996
    Report Date
    August 13, 1996
    Manufacturer
    ETHICON
    Product Code
    GAW
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING SUBCUTANEOUS SUTURING OF ABDOMINAL AREA TIP OF NEEDLE BROKE OFF IN PT'S SUBCUTANEOUS TISSUE. DATE DEVICE EXPIRES: 1/2000.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON, INC. Implant SUTURE GAW ETHICON * HG9130

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR Other