FDA Adverse Event Injury Summary report: N

MAXON 2-0 GS-24 TAPER

MDR report key: 567926 · Received January 19, 2005

Report

Report Number
MW1034459
Event Type
Injury
Date Received
January 19, 2005
Date of Event
December 29, 2004
Report Date
January 19, 2005
Manufacturer
USS/DG
Product Code
GAN
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PT UNDERWENT BILATERAL BREAST REDUCTION SURGERY. 2-0 MAXON ABSORBABLE SUTURES WERE USED. THE PT WAS RETURNED TO SURGERY WHERE IT WAS DISCOVERED THE PT HAD AN ABSCESS. A SUTURE WAS FOUND IN THE ABSCESS. CLINICAL DIAGNOSIS: RIGHT BREAST SUTURE ABSCESS WITH EXTRUDING SUTURE. THE PT REQUIRED OVERNIGHT HOSPITALIZATION AND IV ANTIBIOTIC THERAPY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MAXON 2-0 GS-24 TAPER SUTURE GAN USS/DG MAXON 2-0 6287-51 UNK

Patients

Seq Age Sex Outcome Treatment
1 69 YR Hospitalization| R