FDA Adverse Event Injury Summary report: N

CARDIOXYL SUTURE

MDR report key: 3695650 · Received March 19, 2014

Report

Report Number
MW5035125
Event Type
Injury
Date Received
March 19, 2014
Date of Event
March 13, 2014
Report Date
March 18, 2014
Manufacturer
PETERS SURGICAL
Product Code
GAT
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
MO, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

NOTED COATING ON CARDIOXYL SUTURE PEELING OFF DURING AORTIC ROOT REPLACEMENT SURGERY. A DIFFERENT SUTURE WAS USED FOR THE PT AND ALL SUTURES WITH THIS LOT NUMBER WERE PULLED FROM STOCK AND FOLLOW UP WITH MANUFACTURER. DIAGNOSIS OR REASON FOR USE: CARDIAC SURGERY PROCEDURES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
161998 CARDIOXYL SUTURE SUTURE GAT PETERS SURGICAL 956930

Patients

Seq Age Sex Outcome Treatment
1 60 YR Required Intervention