FDA Adverse Event
Injury
Summary report: N
MARLEX MESH
MDR report key: 1032991
·
Received April 11, 2008
Report
- Report Number
- 1213643-2008-00259
- Event Type
- Injury
- Date Received
- April 11, 2008
- Report Date
- April 8, 2008
- Manufacturer
- DAVOL INC., SUB. C.R. BARD, INC.
- Product Code
- FTL
- PMA / PMN Number
- preamendment
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
CURRENTLY, IT IS UNK WHETHER OR NOT THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT AS NO PROD HAS BEEN RETURNED. NO CONCLUSION CAN BE DRAWN AT THIS TIME. NO INITIAL RPTR CONTACT INFO INCLUDED ON THE MAUDE REPORT, THEREFORE, NO F/U CAN BE MADE. WE, THEREFORE, CONSIDER THIS REPORT COMPLETE TO THE BEST OF OUR CURRENT KNOWLEDGE. MAUDE REPORT LISTED THREE DEVICES - REFERENCE MDRS 1213643-2008-00257 & 1213643-2008-00258 FOR INFO RELATED TO THE OTHER TWO DEVICES.
Description of Event or Problem · 1
IT WAS REPORTED BY THE CONSUMER THAT HE HAS ONGOING PROBLEMS, FISTULAE, INFECTIONS, NO ABDOMINAL WALL SINCE BEING IMPLANTED. HE ALSO REPORTS OPEN WOUNDS AND SKIN GRAFTS THAT HAVE NOT TAKEN DUE TO "MESH BREAKING THROUGH THE SKIN GRAFTS".
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MARLEX MESH | FTL | FTL | DAVOL INC., SUB. C.R. BARD, INC. | NA | 43HMD020 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Hospitalization| R | AND CONTINUES TO CUT AND REMOVE MESH FROM| HIS OPEN WOUNDS.| REPORTED THAT PT'S WIFE TREATS WOUNDS DAILY |