FDA Adverse Event
Injury
Summary report: N
MESH KUGEL COMPOSIX
MDR report key: 2940927
·
Received January 26, 2006
Report
- Report Number
- 2940927
- Event Type
- Injury
- Date Received
- January 26, 2006
- Date of Event
- January 11, 2006
- Report Date
- January 12, 2006
- Manufacturer
- BARD DAVOL
- Product Code
- FTL
- Report Source
- User Facility report
- Reporter Location
- PA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
PT HAD LAPAROSCOPIC VENTRAL HERNIA REPAIR WITH MESH IMPLANT (B)(6) 2005. PT. HAD EXPLORATORY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MESH KUGEL COMPOSIX | HERNIA PATCH | FTL | BARD DAVOL | 0010204 | 43CPD339 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 38 YR | Hospitalization| R | MESH| IMPLANTED: |