BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MESH - COMPOSIX KUGEL

    MDR report key: 1040875 · Received April 29, 2008

    Report

    Report Number
    1213643-2008-00273
    Event Type
    Injury
    Date Received
    April 29, 2008
    Date of Event
    October 30, 2007
    Report Date
    April 11, 2008
    Manufacturer
    DAVOL ,INC., SUB C.R. BARD, INC.
    Product Code
    FTL
    PMA / PMN Number
    K003323
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    UNKNOWN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MESH - COMPOSIX KUGEL FTL FTL DAVOL ,INC., SUB C.R. BARD, INC. NA 43LQD203

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention