FDA Adverse Event
Malfunction
Summary report: N
DEX S BE 1X18 CE2 4/0 N/S
MDR report key: 391326
·
Received April 26, 2002
Report
- Report Number
- 2648188-2002-00047
- Event Type
- Malfunction
- Date Received
- April 26, 2002
- Report Date
- March 27, 2002
- Manufacturer
- MANATI - USS
- Product Code
- GAN
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
REPORTEDLY 8-12 DAYS AFTER A BUNION PROCEDURE THE PTS EXPERIENCED DEHISCENCE. THE DOCTOR DID NOT KNOW WHETHER THE SUTURES BROKE OR THE KNOTS BECAME LOOSE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | DEX S BE 1X18 CE2 4/0 N/S | ABSORBABLE SYNTHETIC SUTURE | GAN | MANATI - USS | NA | 965537 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |