FDA Adverse Event Injury Summary report: N

BARD MESH

MDR report key: 10401042 · Received August 12, 2020

Report

Report Number
MW5096057
Event Type
Injury
Date Received
August 12, 2020
Date of Event
January 1, 2018
Report Date
August 11, 2020
Manufacturer
BARD / DAVOL INC., SUB. C. R. BARD, INC.
Product Code
FTL
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
FL, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

CHRONIC MESH INFECTION, CHRONIC OPEN WOUND FROM 10" X 14" BARD MESH. FDA SAFETY REPORT ID# (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
864304 BARD MESH MESH, SURGICAL, POLYMERIC FTL BARD / DAVOL INC., SUB. C. R. BARD, INC. HUBQ2586

Patients

Seq Age Sex Outcome Treatment
1 55 YR Other| S