FDA Adverse Event
Malfunction
Summary report: N
CATGUT CHROMIC 3/0 (3) 100M
MDR report key: 3970088
·
Received April 28, 2014
Report
- Report Number
- 2916714-2014-00306
- Event Type
- Malfunction
- Date Received
- April 28, 2014
- Report Date
- April 28, 2014
- Manufacturer
- B BRAUN SURGFICAL S.A.
- Product Code
- GAL
- PMA / PMN Number
- K991223
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
MFR SITE EVALUATION: CASSETTES RECEIVED : 1 CASSETTE. THERE ARE NO PREVIOUS COMPLAINTS OF THIS CODE/BATCH. THREAD OF THE CASSETTE RECEIVED IS BROKEN INSIDE THE CASSETTE. THREAD WAS LIKELY TANGLED IN THE REEL AND WHEN PULLED OUT FROM CASSETTE THE THREAD BROKE BECAUSE THE EXTRACTION WAS TOO HARD. FINAL CONCLUSION: THE COMPLAINT IS CORRESPONDING (JUSTIFIED). CORRECTIVE/PREVENTIVE ACTIONS: NA.
Description of Event or Problem · 1
COUNTRY OF COMPLAINT: (B)(6). SNAPPED OFF IN THE REEL - DIDN'T PULL THROUGH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 253372 | CATGUT CHROMIC 3/0 (3) 100M | CATGUT CHROM CASSETTES SUTURE | GAL | B BRAUN SURGFICAL S.A. | F1154044 | 613204 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |