FDA Adverse Event Injury Summary report: N

VICRYL POLYGLACTIN 910 SUTURE UNKNOWN PRODUCT

MDR report key: 7346108 · Received March 16, 2018

Report

Report Number
2210968-2018-71480
Event Type
Injury
Date Received
March 16, 2018
Report Date
February 27, 2018
Manufacturer
ETHICON INC.
Product Code
GAM
PMA / PMN Number
K022269
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4) TO DATE THE DEVICE HAS NOT BEEN RETURNED. IF THE DEVICE OR FURTHER DETAILS ARE RECEIVED AT A LATER DATE A SUPPLEMENTAL MEDWATCH WILL BE SENT. ATTEMPTS ARE BEING MADE TO OBTAIN THE FOLLOWING INFORMATION. TO DATE NO RESPONSE HAS BEEN PROVIDED. IF FURTHER DETAILS ARE RECEIVED AT A LATER DATE A SUPPLEMENTAL MEDWATCH WILL BE SENT. CITATION: HERNIA (2013) 17:521¿526; DOI 10.1007/S10029-013-1087-6; PUBLISHED ONLINE: 31 MARCH 2013. (B)(4)

Description of Event or Problem · 1

IT WAS REPORTED VIA JOURNAL ARTICLE: "TITLE: SUTURE REPAIR OF UMBILICAL HERNIA DURING CAESAREAN SECTION: A CASE¿CONTROL STUDY" AUTHORS: D. C. STEINEMANN, P. LIMANI, N. OCHSENBEIN, F. KRA¨HENMANN, P.-A. CLAVIEN, R. ZIMMERMANN, D. HAHNLOSER. CITATION: HERNIA (2013) 17:521¿526; DOI 10.1007/S10029-013-1087-6; PUBLISHED ONLINE: 31 MARCH 2013 THE OBJECTIVE OF THIS (B)(6) STUDY IS TO INVESTIGATE THE ADDITIONAL BURDENS IN TERMS OF PAIN, PROLONGATION OF SURGERY AND MORBIDITY WHICH IS ADDED TO ELECTIVE CAESAREAN SECTION IF UMBILICAL HERNIA SUTURE REPAIR IS PERFORMED SIMULTANEOUSLY. BETWEEN THE PERIOD OF 2000 AND 2011, 14 PATIENTS, AGES 33 TO 41 YEARS WHO UNDERWENT CAESAREAN SECTION COMBINED WITH UMBILICAL HERNIA REPAIR WERE SELECTED VIA ELECTRONIC CLINICAL INFORMATION SYSTEM. SEVEN PATIENTS UNDERWENT OPEN SUTURE REPAIR (ER) USING SEVERAL INTERRUPTED SUTURES WITH NON-ABSORBABLE MATERIAL (POLYPROPYLENE, 1-0, ETHICON INC., (B)(4)) AND SEVEN PATIENTS UNDERWENT INTERNAL RING REPAIR (IR) USING RUNNING ABSORBABLE SUTURE (VICRYL 2-0, ETHICON INC., (B)(4)). ALL PATIENTS EXCEPT FOR ONE IN THE ER GROUP WERE OPERATED IN SPINAL ANAESTHESIA. TWO RECURRENCES IN THE IR AND ER SUBGROUP OCCURRED WHO INITIALLY PRESENTED WITH A SMALL HERNIA DEFECT. IN CONCLUSION, DESPITE HIGH RECURRENCE RATE, SIMULTANEOUS UMBILICAL SUTURE REPAIR DURING CAESAREAN SECTION IS WORTH AN ATTEMPT GIVEN THE FACT THAT NO ADDITIONAL PAIN AND MORBIDITY ARE ADDED AND RE-HOSPITALIZATION DAYS FOR SEPARATE HERNIA REPAIR ARE SAVED. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
187148 VICRYL POLYGLACTIN 910 SUTURE UNKNOWN PRODUCT SUTURE, ABSORBABLE, SYNTHETIC GAM ETHICON INC. UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention