FDA Adverse Event
Malfunction
Summary report: N
PARIETEX HERNIA MESH
MDR report key: 18173484
·
Received November 17, 2023
Report
- Report Number
- MW5148298
- Event Type
- Malfunction
- Date Received
- November 17, 2023
- Date of Event
- November 9, 2023
- Report Date
- November 15, 2023
- Manufacturer
- COVIDIEN/CARDINAL HEALTH 200, LLC
- Product Code
- FTL
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- SC, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PARIETEX HERNIA MESH. COVIDIEN/ REF# PCO8VP, PVI1324X. THE PIECE OF MESH WOULD NOT COME LOOSE FROM THE PACKAGE AND IT SEEMED TO CRUMBLE WHEN IT DID RELEASE. THE MESH NEVER ENTERED THE PATIENT AND WAS DISPOSED OF IN THE OR (OPERATING ROOM). ANOTHER PIECE OF MESH WAS OPENED AND IMPLANTED AS NORMAL AND THERE WAS NO HARM TO THE PATIENT. COMPANY REP WAS NOTIFIED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2069362 | PARIETEX HERNIA MESH | MESH, SURGICAL, POLYMERIC | FTL | COVIDIEN/CARDINAL HEALTH 200, LLC | PVI1324X |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 64 YR | Male | Other |