FDA Adverse Event Malfunction Summary report: N

SILKAM BLACK 3/0 (2) 75CM HR26

MDR report key: 9711517 · Received February 14, 2020

Report

Report Number
3003639970-2020-00082
Event Type
Malfunction
Date Received
February 14, 2020
Date of Event
January 15, 2020
Report Date
February 14, 2020
Manufacturer
B.BRAUN SURGICAL SA
Product Code
GAP
PMA / PMN Number
SEE H10
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PMA/510K: 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. K990089. INVESTIGATION: SAMPLES RECEIVED: 27 UNOPENED POUCHES AND 2 OPENED. ANALYSIS AND RESULTS: THERE ARE NO PREVIOUS COMPLAINTS OF THIS CODE-BATCH. WE MANUFACTURED AND DISTRIBUTED IN THE MARKET (B)(4) UNITS OF THIS CODE-BATCH. THERE ARE NO UNITS IN OUR STOCK. WE HAVE RECEIVED 29 CLOSED SAMPLES AND 2 OPENED (ONE OF THEM WITH THE NEEDLE DETACHED FROM THE THREAD). WE HAVE TESTED THE NEEDLE ATTACHMENT STRENGTH OF THE CLOSED SAMPLES RECEIVED AND THE RESULTS DO NOT FULFIL THE REQUIREMENTS OF THE EUROPEAN PHARMACOPOEIA (EP). REVIEWED THE BATCH MANUFACTURING RECORD, THIS BATCH HAS AN INCIDENCE BUT WAS RELEASED INTO THE MARKET FULFILLING USP/EP AND B.BRAUN SURGICAL REQUIREMENTS. NEEDLE ATTACHMENT STRENGTH RESULTS BEFORE RELEASING THE PRODUCT WERE 0.73 KGF IN AVERAGE AND 0.59 KGF IN MINIMUM (EP REQUIREMENTS: 0.69 KGF IN AVERAGE AND 0.35 KGF IN MINIMUM). FINAL CONCLUSION: TAKING INTO ACCOUNT THAT THE RESULTS OF SAMPLES RECEIVED DO NOT FULFIL THE SPECIFICATIONS OF THE EUROPEAN PHARMACOPOEIA/B. BRAUN SURGICAL SPECIFICATIONS, WE CONCLUDE THAT THE COMPLAINT IS CONFIRMED. ACTIONS ON PRODUCT DISTRIBUTED OF THIS REFERENCE/BATCH: BASED ON THE CONCLUSION DERIVED FROM INVESTIGATION, IT IS NOT REQUIRED TO MAKE ACTIONS IN DISTRIBUTED PRODUCT. NO CORRECTIVE/PREVENTIVE ACTIONS NEEDED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THERE WAS NEEDLE DETACHMENT. THE REPORTER INDICATED THAT DURING A SURGICAL PROCEDURE OF A STOMACH INTERVENTION THE SUTURE IS DETACHED FROM THE NEEDLE. PATIENT INFORMATION WAS NOT PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
174635 SILKAM BLACK 3/0 (2) 75CM HR26 OTHER SUTURE GAP B.BRAUN SURGICAL SA C0760412 619253

Patients

Seq Age Sex Outcome Treatment
1