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 |