FDA Adverse Event Malfunction Summary report: N

CATGUT PLAIN 3/0 (3) 100M

MDR report key: 7154710 · Received December 29, 2017

Report

Report Number
3003639970-2017-00626
Event Type
Malfunction
Date Received
December 29, 2017
Report Date
January 10, 2018
Manufacturer
B.BRAUN SURGICAL SA
Product Code
GAL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

AESCULAP INC. (IMPORTER) IS SUBMITTING THIS REPORT ON BEHALF OF B. BRAUN SURGICAL S.A. (MANUFACTURER). EXEMPTION NUMBER: E2014012 MANUFACTURING SITE EVALUATION: EVALUATION ON-GOING

Description of Event or Problem · 0

COUNTRY OF COMPLAINT: AUSTRIA. THREAD IS BROKEN AN TANGLED INSIDE THE CASSETTE.

Additional Manufacturer Narrative · 1

SAMPLES RECEIVED: 1 OPEN CASSETTE. ANALYSIS AND RESULTS: THERE ARE NO PREVIOUS COMPLAINTS OF THIS CODE BATCH. WE MANUFACTURED AND DISTRIBUTED IN THE MARKET 50 UNITS OF THIS CODE-BATCH. THERE ARE NO UNITS IN OUR STOCK. WE HAVE RECEIVED ONE OPEN AND USED CASSETTE. THREAD ON SAMPLE RECEIVED IS BROKEN INSIDE THE CASSETTE AND IT IS NOT USEFUL. THREAD WAS PROBABLY TANGLED IN THE REEL AND WHEN PULLED OUT FROM CASSETTE THE THREAD BROKE BECAUSE THE EXTRACTION WAS TOO HARD. FINAL CONCLUSION: WE CONCLUDE THAT THE COMPLAINT IS JUSTIFIED. CORRECTIVE/PREVENTIVE ACTIONS: THIS COMPLAINT IS RECORDED FOR TRENDING ANALYSIS TO ASSESS IF ACTIONS ARE NEEDED IN THE FUTURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
934337 CATGUT PLAIN 3/0 (3) 100M SUTURES GAL B.BRAUN SURGICAL SA F1144049 615274

Patients

Seq Age Sex Outcome Treatment
1 Other