BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    0112680-BARD MESH 3 X 6

    MDR report key: 395236 · Received May 8, 2002

    Report

    Report Number
    1213643-2002-00022
    Event Type
    Malfunction
    Date Received
    May 8, 2002
    Date of Event
    April 11, 2002
    Report Date
    May 8, 2002
    Manufacturer
    C.R. BARD, INC.(PUERTO RICO)
    Product Code
    FTL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SURGEON CUT MESH TO FIT AND "FLAKES" FELL INTO PT'S ABDOMEN. MESH RETAINED BY RISK MANAGEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 0112680-BARD MESH 3 X 6 350101100-MESH FLAT FTL C.R. BARD, INC.(PUERTO RICO) * 43GLD030

    Patients

    Seq Age Sex Outcome Treatment
    1 *