FDA Adverse Event
Malfunction
Summary report: N
NOVOSYN UNDYED 3/0 (2) 70CM DS24 (M)
MDR report key: 3812590
·
Received April 17, 2014
Report
- Report Number
- 2916714-2014-00262
- Event Type
- Malfunction
- Date Received
- April 17, 2014
- Report Date
- April 17, 2014
- Manufacturer
- B. BRAUN SURGICAL S.A.
- Product Code
- GAM
- PMA / PMN Number
- K122734
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NO
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
EVALUATION ON-GOING.
Description of Event or Problem · 1
COUNTRY OF COMPLAINT: (B)(6). NEEDLE AND THREAD DETACHMENT. HAS HAPPENED IN DIFFERENT GYN PROCEDURES. SOME SUTURES ARE FOUND TO BE NOT CONNECTED TO THE NEEDLE WHILE IN THE ENVELOPE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 236256 | NOVOSYN UNDYED 3/0 (2) 70CM DS24 (M) | GAM | B. BRAUN SURGICAL S.A. | C0069235 | 113404 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |