FDA Adverse Event Malfunction Summary report: N

NOVOSYN QUICK

MDR report key: 8080330 · Received November 16, 2018

Report

Report Number
3003639970-2018-00718
Event Type
Malfunction
Date Received
November 16, 2018
Report Date
December 19, 2018
Manufacturer
B. BRAUN SURGICAL SA
Product Code
GAM
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHARMACIST

Narratives

Additional Manufacturer Narrative · 0

AESCULAP INC. (IMPORTER, REGISTRATION NO. 2916714) IS SUBMITTING THIS REPORT ON BEHALF OF B. BRAUN SURGICAL S.A. (MANUFACTURER, REGISTRATION NO. 3003639970). EXEMPTION NUMBER: E2014012. REPORTED DEVICE NOT MARKETED IN THE U.S., HOWEVER, SIMILAR DEVICES OR DEVICES THAT SHARE COMPONENTS, RAW MATERIALS, PROCESS METHODS OR OTHER TECHNOLOGICAL CHARACTERISTICS ARE REGISTERED WITHIN THE U.S. DATE OF EVENT: UNKNOWN. WHEN ADDITIONAL INFORMATION IS RECEIVED A FOLLOW UP REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

WE HAVE NOT RECEIVED INFORMATION REGARDING THE POSSIBLE NOVOSYN QUICK CODE/S-BATCH/ES INVOLVED IN THIS CASE. WITHOUT THIS INFORMATION A PROPER ANALYSIS CANNOT BE DONE AS THE REVIEW OF THE BATCH MANUFACTURING RECORDS CANNOT BE DONE EITHER. WITHOUT SAMPLES WE ARE NOT IN POSITION OF STUDYING IF THE AFFECTED PRODUCT DOES NOT FULFIL THE SPECIFICATIONS. IN CONSEQUENCE, A PROPER ANALYSIS CANNOT BE DONE AND THE CASE IS NOT CONFIRMED DUE TO LACK OF EVIDENCE. NEVERTHELESS, WE TAKE NOTE OF THIS INCIDENCE AND IF ANY SAMPLE OR INFORMATION REGARDING THE REFERENCE INVOLVED IS RECEIVED IN THE FUTURE, WE WILL RE-OPEN THE CASE AND ANALYZE IT. PLEASE NOTE THAT WHEN NO SAMPLES ARE RECEIVED OUR ANALYSIS IS VERY LIMITED. BASED ON THE CONCLUSION DERIVED FROM INVESTIGATION, IT IS NOT REQUIRED TO MAKE ACTIONS IN DISTRIBUTED PRODUCT. ACCORDING TO OUR INTERNAL PROCEDURES, THERE IS NO NEED TO ESTABLISH CORRECTIVE OR PREVENTIVE ACTIONS. NEVERTHELESS, 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 BY THE HEALTHCARE PROFESSIONAL "INFECTIONS OCCURRED ON 3 PATIENTS WITH NOVOSYN QUICK 3/0. THE WIRES WERE NOT RESORBED AND THERE WAS PRESENCE OF ABSCESSES." ADDITIONAL INFORMATION HAS BEEN REQUESTED HOWEVER, NOT YET RECEIVED. IF ADDITIONAL INFORMATION IS RECEIVED A FOLLOW UP REPORT WILL BE SUBMITTED. ALL MED WATCH SUBMISSIONS RELATED TO THIS PATIENT ARE: 3003639970-2018-00719; 3003639970-2018-00720.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
919018 NOVOSYN QUICK SUTURE GAM B. BRAUN SURGICAL SA B50101

Patients

Seq Age Sex Outcome Treatment
1 Other