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 |