FDA Adverse Event
Other
Summary report: N
MONOFILAMENT SURGICAL STEEL WIRE
MDR report key: 624653
·
Received July 22, 2005
Report
- Report Number
- 624653
- Event Type
- Other
- Date Received
- July 22, 2005
- Date of Event
- January 17, 2005
- Report Date
- July 22, 2005
- Manufacturer
- ETHICON INC.
- Product Code
- GAQ
- Report Source
- User Facility report
- Reporter Location
- IL, US
Narratives
Description of Event or Problem · 1
PER MD PATIENT WENT HOME AND FELL. THE PATIENT BROKE OFF THE FIRST WIRE AND ONLY VERY SMALL PORTION OF STERNUM OPEN (1/2 INCH).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MONOFILAMENT SURGICAL STEEL WIRE | STAINLESS STEEL WIRE | GAQ | ETHICON INC. | M654G | UBP782 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 46 YR |