BEUDAMED
    FDA Adverse Event Injury Summary report: N

    0113480-COMPOSIX MESH 4 X 8

    MDR report key: 302251 · Received October 25, 2000

    Report

    Report Number
    1213643-2000-00058
    Event Type
    Injury
    Date Received
    October 25, 2000
    Date of Event
    June 1, 2000
    Report Date
    October 25, 2000
    Manufacturer
    C.R. BARD, INC. (PUERTO RICO)
    Product Code
    FTL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    BE
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    COMPOSIX INGROWTH INTO COLON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 0113480-COMPOSIX MESH 4 X 8 350101104-MESH COMPOSIX FTL C.R. BARD, INC. (PUERTO RICO) * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention