FDA Adverse Event Injury Summary report: N

PROLENE POLYPROPYLENE SUTURE UNKNOWN PRODUCT

MDR report key: 7622657 · Received June 20, 2018

Report

Report Number
2210968-2018-73604
Event Type
Injury
Date Received
June 20, 2018
Report Date
May 30, 2018
Manufacturer
ETHICON INC.
Product Code
GAW
PMA / PMN Number
K133356
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PO
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. CITATION: ENDOSCOPY. 2015; 47: E534 E535. DOI: HTTP://DX.DOI.ORG/10.1055/S-0034-1393040. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED VIA JOURNAL ARTICLE: "TITLE: CALCIUM OXALATE STONES IN A COLONIC SURGICAL SUTURE: AN UNCOMMON ENDOSCOPIC FINDING". AUTHORS: JOANA RIBEIRO DA SILVA, ROLANDO PINHO, IOLANDA RIBEIRO, ANA PONTE, JAIME RODRIGUES, AGOSTINHO LIRA, JOÃO CARVALHO. CITATION: ENDOSCOPY. 2015; 47: E534 E535. DOI: HTTP://DX.DOI.ORG/10.1055/S-0034-1393040. A 59-YEAR OLD BRAZILIAN WOMAN HAD UNDERGONE ILEOCOLONIC RESECTION IN 2004 WHILE IN BRAZIL. SHE WAS PRESENTED TO THE HOSPITAL WITH ABDOMINAL PAIN AND THE PASSAGE OF LIQUID STOOLS. COLONOSCOPY SHOWED AT THE ILEOCOLONIC ANASTOMOSIS A SURGICAL PROLENE SUTURE THAT THREADED THROUGH SEVERAL HARD SPHERICAL STRUCTURES, SIMILAR IN APPEARANCE TO ROSARY BEADS WHICH WAS CONFIRMED TO BE CALCIUM OXALATE STONES. THE SUTURE WAS CUT WITH ENDOSCOPIC SCISSORS AT BOTH ENTRY POINTS IN THE COLONIC WALL AND THE FOREIGN BODY WAS REMOVED WITH A GRASPING FORCEPS. IT WAS REPORTED THAT CALCIUM OXALATE CRYSTALS IN THE STOOL POSSIBLY ADHERED TO THE SURGICAL SUTURE, CREATING A NIDUS FOR SUBSEQUENT STONE GROWTH. THIS IS THE FIRST CASE REPORT OF A FOREIGN BODY REACTION TO A PROLENE SUTURE, WITH THE FORMATION OF MULTIPLE CALCIUM OXALATE STONES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
463253 PROLENE POLYPROPYLENE SUTURE UNKNOWN PRODUCT SUTURE, NONABSORBABLE GAW ETHICON INC. UNK

Patients

Seq Age Sex Outcome Treatment
1 59 YR Required Intervention