BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SURGIMESH XB BG MEDICAL

    MDR report key: 16489024 · Received March 3, 2023

    Report

    Report Number
    MW5115459
    Event Type
    Injury
    Date Received
    March 3, 2023
    Date of Event
    February 21, 2023
    Report Date
    March 1, 2023
    Manufacturer
    MEDICAL MURRAY, INC.
    Product Code
    FTL
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    SURGIMESH PLACED ON (B)(6) 2021, INFECTION IDENTIFIED (B)(6) 2021. 1 YEAR TREATMENT WITH INFECTIOUS DISEASE, SURGEON, ANTIBIOTIC THERAPY. MESHED WAS REMOVED (B)(6) 2023. CT(COMPUTED TOMOGRAPHY) ABDOMEN: LARGE ABDOMINAL WALL FLUID COLLECTION UNDERLYING THE SURGICAL MESH. MEASURING 5.9 X 10.2 APPROXIMATELY. DRAIN PLACED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    626850 SURGIMESH XB BG MEDICAL MESH, SURGICAL, POLYMERIC FTL MEDICAL MURRAY, INC. Z2459D18C

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Male Required Intervention| H