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