FDA Adverse Event Injury Summary report: N

VENTRIO ST

MDR report key: 23887571 · Received December 24, 2025

Report

Report Number
1213643-2025-01265
Event Type
Injury
Date Received
December 24, 2025
Date of Event
December 2, 2025
Report Date
December 4, 2025
Manufacturer
DAVOL INC., SUB. C.R. BARD, INC. -1213643
Product Code
FTL
UDI-DI
00801741031519
PMA / PMN Number
K101920
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
RI, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

NO CONCLUSIONS CAN BE MADE. THE PATIENT'S ATTORNEY ALLEGES "PAST, PRESENT, AND FUTURE DAMAGES, INCLUDING BUT NOT LIMITED TO, MENTAL AND PHYSICAL PAIN AND SUFFERING FOR SEVERE AND PERMANENT PERSONAL INJURIES SUSTAINED BY THE PATIENT." HOWEVER, NO DETAILS HAVE BEEN PROVIDED. NOTE, THE DATE OF EVENT (02-DEC-2025) AND MANUFACTURING DATE (15-SEP-2020) ARE CONSIDERED TO BE THE BEST ESTIMATE. THIS EMDR REPRESENTS THE BD VENTRIO ST (DEVICE 1). ADDITIONAL EMDRS WERE SUBMITTED TO REPRESENT THE OTHER TWO BD VENTRIO ST MESHES (DEVICE 2 AND DEVICE 3). SHOULD ADDITIONAL INFORMATION BE PROVIDED, A SUPPLEMENTAL EMDR WILL BE SUBMITTED. NOTE: SECTION A THROUGH F - THE INFORMATION PROVIDED BY BD REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BD.

Description of Event or Problem · 0

ATTORNEY ALLEGES THAT THE PATIENT UNDERWENT SURGERY FOR IMPLANT OF THREE BARD/DAVOL VENTRIO ST MESH (CAT# 5950020, LOT# HUEW1693) ON (B)(6) 2021 AND (CAT# 5950020, LOT# HUGV0211) ON (B)(6) 2023 AND (CAT# 5950050, LOT# HUGW1573) ON (B)(6) 2024. AS REPORTED, THE PATIENT IS MAKING A CLAIM FOR AN ADVERSE PATIENT OUTCOME AGAINST ALL VENTRIO ST MESHES. ATTORNEY ALLEGES GENERAL ALLEGATIONS FOR "PAST, PRESENT, AND FUTURE DAMAGES, INCLUDING BUT NOT LIMITED TO, MENTAL AND PHYSICAL PAIN AND SUFFERING FOR SEVERE AND PERMANENT PERSONAL INJURIES SUSTAINED BY THE PATIENT." IT IS ALSO ALLEGED THAT THE PATIENT EXPERIENCED EMOTIONAL DISTRESS, AND THE DEVICE WAS DEFECTIVE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2507147 VENTRIO ST SURGICAL MESH FTL DAVOL INC., SUB. C.R. BARD, INC. -1213643 NA HUEW1693 00801741031519

Patients

Seq Age Sex Outcome Treatment
1 NA Female Disability