BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BARD

    MDR report key: 2597586 · Received May 29, 2012

    Report

    Report Number
    MW5025618
    Event Type
    Injury
    Date Received
    May 29, 2012
    Date of Event
    February 4, 2010
    Report Date
    May 29, 2012
    Manufacturer
    N.J RAM MEDICAL INC.
    Product Code
    FTL
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    MESH HERNIA PATCH. DIAGNOSIS FOR USE: ING HERNIA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARD MESH PATCH FTL N.J RAM MEDICAL INC. NOT SURE

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Other| R