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