BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PERFIX PLUG

    MDR report key: 141587 · Received December 30, 1997

    Report

    Report Number
    1213643-1997-00081
    Event Type
    Injury
    Date Received
    December 30, 1997
    Date of Event
    November 28, 1997
    Report Date
    December 30, 1997
    Manufacturer
    DAVOL, INC., SUB. C.R. BARD, INC.
    Product Code
    EXN
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT INFECTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PERFIX PLUG HERNIA PLUG EXN DAVOL, INC., SUB. C.R. BARD, INC. * 086620

    Patients

    Seq Age Sex Outcome Treatment
    1 *