BEUDAMED
    FDA Adverse Event Injury Summary report: N

    COMPOSIX MESH E/X

    MDR report key: 1032806 · Received April 21, 2008

    Report

    Report Number
    1213643-2008-00262
    Event Type
    Injury
    Date Received
    April 21, 2008
    Date of Event
    April 9, 2007
    Report Date
    March 19, 2008
    Manufacturer
    DAVOL INC., SUB. C.R. BARD, INC.
    Product Code
    FTL
    PMA / PMN Number
    K002684
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COMPOSIX MESH E/X FTL DAVOL INC., SUB. C.R. BARD, INC. NA 43IOD269

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention