FDA Adverse Event
Malfunction
Summary report: N
SILKAM BLACK 3/0 (2) 75CM HR26
MDR report key: 9693470
·
Received February 11, 2020
Report
- Report Number
- 3003639970-2020-00063
- Event Type
- Malfunction
- Date Received
- February 11, 2020
- Report Date
- February 11, 2020
- Manufacturer
- B. BRAUN SURGICAL SA
- Product Code
- GAP
- PMA / PMN Number
- SEE H10
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SP
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
PMA/510K: K990089. 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.
Description of Event or Problem · 1
IT WAS REPORTED THAT THERE WAS AN ISSUE WITH SILKAM BLACK. THE CUSTOMER REPORTED THAT THERE WAS AN EMERGENCY REOPERATION OF A PATIENT DUE TO WOUND DEHISCENCE 4 DAYS AFTER SURGERY. ALL THE STITCHES WERE COMPLETELY OPEN. IT WAS INTRAOPERATIVE, GENERAL SURGERY SERVICE, IN LIVER TRANSPLANT SURGERY. SUTURE TECHNIQUE EMPLOYED: INTERRUPTED (SUTURE OF LOSING STITCHES TO ENSURE ANASTOMOSIS). THERE ARE NO SAMPLES AVAILABLE. THERE IS NO FURTHER PATIENT INFORMATION AVAILABLE, BUT HAS BEEN REQUESTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 156238 | SILKAM BLACK 3/0 (2) 75CM HR26 | OTHER SUTURE | GAP | B. BRAUN SURGICAL SA | C0760412 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |