BEUDAMED
    FDA Adverse Event Other Summary report: N

    ETHICON

    MDR report key: 752269 · Received May 26, 2005

    Report

    Report Number
    MW1035551
    Event Type
    Other
    Date Received
    May 26, 2005
    Date of Event
    March 31, 2005
    Report Date
    May 5, 2005
    Manufacturer
    ETHICON
    Product Code
    GAB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CV SURGEON WAS SUTURING WHEN THE SUTURE NEEDLE CAME "UNWEDGED" FROM THE NEEDLE HOLDER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETHICON SUTURE NEEDLE GAB ETHICON * SAE351

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other