FDA Adverse Event
Injury
Summary report: N
MESH SOFRADIM - PARIETEX COMPOSITE MESH
MDR report key: 10446167
·
Received August 24, 2020
Report
- Report Number
- 9615742-2020-01894
- Event Type
- Injury
- Date Received
- August 24, 2020
- Report Date
- August 24, 2020
- Manufacturer
- SOFRADIM PRODUCTION SAS
- Product Code
- FTL
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 1
CONCOMITANT MEDICAL PRODUCT: ETHICON PROLENE MESH (PRODUCT ID: PMH, LOT NUMBER: DPB832); ETHICON PROLENE MESH (PRODUCT ID: PMH, LOT NUMBER: DMP516). IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.
Description of Event or Problem · 1
THE PATIENT¿S ATTORNEY ALLEGED A DEFICIENCY AGAINST THE DEVICE. THE PRODUCT WAS USED FOR THERAPEUTIC TREATMENT OF A HERNIA. IT WAS REPORTED THAT AFTER IMPLANT, THE PATIENT EXPERIENCED AN UNSPECIFIED ADVERSE OUTCOME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 906615 | MESH SOFRADIM - PARIETEX COMPOSITE MESH | MESH, SURGICAL, POLYMERIC | FTL | SOFRADIM PRODUCTION SAS | PCO9 | PLJ00352 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |