FDA Adverse Event
Malfunction
Summary report: N
PROLENE POLYPROPYLENE SUTURE
MDR report key: 68157
·
Received February 6, 1997
Report
- Report Number
- 2210968-1997-00018
- Event Type
- Malfunction
- Date Received
- February 6, 1997
- Date of Event
- January 8, 1997
- Report Date
- January 14, 1997
- Manufacturer
- ETHICON INC.
- Product Code
- GAW
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
SUTURE BREAKAGE. CUSTOMER REPORTS THAT SUTURE SNAPPED SEVERAL TIMES DURING CORONARY ARTERY BYPASS GRAFT SURGERY WITH NO ADVERSE CONSEQUENCE TO THE PT. NOTE: OUTCOME TO PT DOES NOT DENOTE ADVERSE EVENT. MDR REGULATION OF 7/31/96 REQUIRES REPORTING OF INCIDENT ONCE MEDICAL DEVICE FAMILY INITIALLY REPORTED ASSUMING INCIDENT COULD RECUR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PROLENE POLYPROPYLENE SUTURE Implant | NON-ABSORBABLE SUTURE | GAW | ETHICON INC. | NA | JAE024 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NO INFO |