BEUDAMED
    FDA Adverse Event Other Summary report: N

    ETHICON

    MDR report key: 512992 · Received February 18, 2004

    Report

    Report Number
    MW1031233
    Event Type
    Other
    Date Received
    February 18, 2004
    Date of Event
    February 3, 2004
    Report Date
    February 10, 2004
    Manufacturer
    ETHICON, INC.
    Product Code
    GAO
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SUTURE BROKE. WITH 8 STITCHES ON FIELD, 2 BROKE. "HAS BEEN BREAKING WHEN TIEING AROUND TISSUE FOR ABD HYST. CASE."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON SUTURE GAO ETHICON, INC. MONOCRYL SZ-0 RB7653

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Other