FDA Adverse Event Injury Summary report: N

0112660-BARD MESH 10 X 14

MDR report key: 370195 · Received January 4, 2002

Report

Report Number
1213643-2002-00001
Event Type
Injury
Date Received
January 4, 2002
Date of Event
December 4, 2001
Report Date
January 4, 2002
Manufacturer
C.R. BARD, INC. (PUERTO RICO)
Product Code
FTL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

VENTRAL HERNIA REPAIR IN 1997. PATIENT HAD RECURRING VENTRAL HERNIA. MESH REMOVED IN 2001. MESH APPEARED TO HAVE TORN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 0112660-BARD MESH 10 X 14 350101100-MESH FLAT FTL C.R. BARD, INC. (PUERTO RICO) * UNK

Patients

Seq Age Sex Outcome Treatment
1 * Required Intervention