FDA Adverse Event Malfunction Summary report: N

MONOPLUS C VIOLET 0 (3,5) 25M

MDR report key: 3880691 · Received May 28, 2014

Report

Report Number
2916714-2014-00395
Event Type
Malfunction
Date Received
May 28, 2014
Date of Event
April 16, 2014
Report Date
May 28, 2014
Manufacturer
B. BRAUN SURGICAL S.A.
Product Code
NEW
PMA / PMN Number
K031216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SAMPLES RECEIVED: 1 OPEN CASSETTE. THERE ARE NO PREVIOUS COMPLAINTS OF THIS CODE/BATCH. THERE ARE NO UNITS IN OEM STOCK. WE HAVE RECEIVED 1 OPEN CASSETTE, WITH THE OPENING DATE WRITTEN: (B)(6) 2014. THE RECEPTION DATE IS (B)(6) 2014, SO THE SUTURE WAS USED WITHIN 4 MONTH PERIOD AFTER OPENING. TESTED THE KNOT PULL TENSILE STRENGTH OF THE SAMPLE RECEIVED AND THE RESULTS FULFIL THE REQUIREMENTS OF THE OEM. REVIEWED THE BATCH MANUFACTURING RECORD, THIS PRODUCT HAD A NORMAL PROCESS AND THE RESULTS DURING THE PROCESS FULFIL OEM REQUIREMENTS. FINAL CONCLUSION: THE COMPLAINT IS NOT CORRESPONDING (NOT JUSTIFIED). ACTIONS ON PRODUCT: NOT APPLICABLE. CORRECTIVE/PREVENTATIVE ACTIONS: NOT APPLICABLE.

Description of Event or Problem · 1

COUNTRY OF COMPLAINT: (B)(6). SUTURE IS SNAPPING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
314178 MONOPLUS C VIOLET 0 (3,5) 25M SYNTHETIC ABSORBABLE SUTURE NEW B. BRAUN SURGICAL S.A. F0024273 113231

Patients

Seq Age Sex Outcome Treatment
1 Other