FDA Adverse Event Malfunction Summary report: N

CATGUT PLAIN 2/0 (3.5) 100M

MDR report key: 7969035 · Received October 16, 2018

Report

Report Number
3003639970-2018-00654
Event Type
Malfunction
Date Received
October 16, 2018
Report Date
October 2, 2018
Manufacturer
B. BRAUN SURGICAL S.A.
Product Code
GAL
PMA / PMN Number
SEE H10
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 BBRAUN SURGICAL S.A. (MANUFACTURER). EXEMPTION NUMBER E2014012. INVESTIGATION RESULTS: SAMPLES RECEIVED: 1 OPEN CASSETTE. ANALYSIS AND RESULTS: THERE ARE NO PREVIOUS COMPLAINTS OF THIS CODE-BATCH. WE MANUFACTURED (B)(4) UNITS OF THIS CODE-BATCH. THERE ARE (B)(4) UNITS IN STOCK. WE HAVE RECEIVED ONE OPEN CASSETTE. THREAD ON SAMPLE RECEIVED IS BROKEN INSIDE THE CASSETTE AND IT IS NOT USEFUL. THREAD WAS MOST LIKELY TANGLED IN THE REEL AND WHEN PULLED OUT FROM CASSETTE THE THREAD BROKE BECAUSE THE EXTRACTION WAS TOO HARD, HOWEVER, BASED ON THE CONDITION OF THE RECEIVED PRODUCT, THIS CAN NOT BE CONFIRMED. FINAL CONCLUSION: THE CASSETTE RECEIVED DOES NOT FULFIL SPECIFICATION; HOWEVER, ROOT CAUSE CAN NOT BE DETERMINED. ACTIONS ON DISTRIBUTED PRODUCT OF THIS REFERENCE/BATCH: BASED ON THE CONCLUSION DERIVED FROM INVESTIGATION, IT IS NOT REQUIRED TO MAKE ACTIONS IN DISTRIBUTED PRODUCT. CORRECTIVE/PREVENTIVE ACTIONS: THIS COMPLAINT IS RECORDED FOR TRENDING ANALYSIS TO ASSESS IF ACTIONS ARE NEEDED IN THE FUTURE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE THREAD IS TANGLED AND BROKEN IN THE CASSETTE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
809520 CATGUT PLAIN 2/0 (3.5) 100M SUTURE GAL B. BRAUN SURGICAL S.A. F1144057 618195

Patients

Seq Age Sex Outcome Treatment
1