FDA Adverse Event Injury Summary report: N

0123680-COMPOSIX MESH E/X

MDR report key: 402561 · Received June 26, 2002

Report

Report Number
1213643-2002-00035
Event Type
Injury
Date Received
June 26, 2002
Date of Event
April 8, 2002
Report Date
June 25, 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

DESCRIBE EVENT OR PROBLEM: PATIENT INFECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 0123680-COMPOSIX MESH E/X 350101104-MESH COMPOSIX FTL C.R. BARD, INC. (PUERTO RICO) * UNK

Patients

Seq Age Sex Outcome Treatment
1 * Required Intervention