FDA Adverse Event Malfunction Summary report: N

DEMESILK

MDR report key: 6083508 · Received November 7, 2016

Report

Report Number
3003063934-2016-00001
Event Type
Malfunction
Date Received
November 7, 2016
Date of Event
March 7, 2016
Report Date
March 29, 2016
Manufacturer
DEMETECH CORPORATION
Product Code
GAP
PMA / PMN Number
K023029
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ON MARCH 08, 2016, WE WERE NOTIFIED BY (B)(6) THAT THE SUTURE KEPT SPLITTING OR RUPTURING DURING THE SUTURING ON LOT NUMBER WW148-14, PRODUCT CODE DT-683-1 (SK164019F4P). CONCERNING THIS EVENT, THE CORRESPONDING INVESTIGATION OF OUR MANUFACTURING AND PACKAGING PROCESSES WAS COMPLETED TO DETERMINE ROOT CAUSE AND AN APPROPRIATE CORRECTIVE/PREVENTATIVE ACTION PLAN. THE FOLLOWING IS A SUMMARY OF THE INVESTIGATION AND CONCLUSIONS DRAWN: A COMPLETE REVIEW OF THE DEVICE HISTORY RECORD ("DHR") FOR THE FINISHED PRODUCT WAS CONDUCTED. DEMESILK SIZE 4-0, PRODUCT CODE DT-683-1 (SK164019F4P), LOT NUMBER WW148-14 WAS PACKAGED ON DECEMBER 04, 2014. REVIEW OF THE DHR DID NOT INDICATE ANY ISSUES DURING THE MANUFACTURING AND PACKAGING PROCESSES. ALL IN-PROCESS TESTS MET THEIR RESPECTIVE SPECIFICATIONS AND, IN ADDITION, THE IN-PROCESS AND FINAL PRODUCT INSPECTIONS MET THE ACCEPTANCE CRITERIA. THE REVIEW INDICATED THAT THE PRODUCT WAS MADE TO MEET STANDARD PRODUCT SPECIFICATIONS WITH NO CHANGES/MODIFICATIONS TO THE STANDARD MANUFACTURING PROCESS. A REVIEW OF THE PACKAGING ACCEPTANCE QUALITY LIMITS ("AQL") INSPECTIONS THAT WERE PERFORMED DURING THE PACKAGING OF THE PRODUCT WAS CONDUCTED. DEMETECH USED AN AQL PROCEDURE BASED ON ANSI TABLES. THE QUALITY PERSONNEL DID NOT FIND ANY DEFECTS. AS PART OF OUR INVESTIGATION, WE HAVE REVIEWED AND ANALYZED THE DATA WE HAVE ON FILE WITH REGARD TO TESTING PERFORMED AT THE TIME OF RELEASED AND ON THE RETURNED SAMPLES. THE TESTING WAS PERFORMED IN ACCORDANCE WITH THE REQUIREMENTS OF THE UNITED STATES PHARMACOPEIA. BASED ON OUR REVIEW OF THE SAMPLES' TENSILE STRENGTH, THE DATA AT THE TIME OF PRODUCT RELEASED, AND THE RETURNED SAMPLES TESTING DATA, THE TENSILE STRENGTH AND NEEDLE PULL MET ALL OF THE USP REQUIREMENTS FOR THE LOT CORRESPONDING SUTURE SIZE REQUIREMENTS. THIS INVESTIGATION CONCLUDED THAT THE QUALITY, STRENGTH, OR INTEGRITY OF THE PRODUCT WAS NOT AFFECTED.

Description of Event or Problem · 1

SUTURE KEPT SPLITTING OR BREAKING DURING SUTURING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
735249 DEMESILK SILK SUTURE GAP DEMETECH CORPORATION SK164019F4P WW148-14

Patients

Seq Age Sex Outcome Treatment
1 25 YR