FDA Adverse Event Injury Summary report: N

NEEDLE 1/2 CIRCLE TAPER POINT MAYO CATGUT .050X1.102 STERILE

MDR report key: 7101300 · Received December 8, 2017

Report

Report Number
1836161-2017-00125
Event Type
Injury
Date Received
December 8, 2017
Date of Event
November 7, 2017
Report Date
December 8, 2017
Manufacturer
ASPEN SURGICAL PRODUCTS, CALEDONIA
Product Code
GAB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

DEVICE NOT AVAILABLE.

Description of Event or Problem · 1

DURING SHOULDER SURGERY, ITEM 216705 (1/2 CIRCLE TAPER NEEDLE) BROKE AT THE PROXIMAL END OF THE NEEDLE EYE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
880208 NEEDLE 1/2 CIRCLE TAPER POINT MAYO CATGUT .050X1.102 STERILE SURGICAL NEEDLE GAB ASPEN SURGICAL PRODUCTS, CALEDONIA 216705 108334

Patients

Seq Age Sex Outcome Treatment
1 Other