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 |