BEUDAMED
    FDA Adverse Event Injury Summary report: N

    0112660-BARD MESH 10 X 14

    MDR report key: 375999 · Received February 5, 2002

    Report

    Report Number
    1213643-2002-00006
    Event Type
    Injury
    Date Received
    February 5, 2002
    Date of Event
    September 14, 2001
    Report Date
    February 5, 2002
    Manufacturer
    C.R. BARD, INC. (PUERTO RICO)
    Product Code
    FTL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    MESH MIGRATED. RESULTED IN BOWEL ADHESION FORMATION.

    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) * 43LJD088

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention