FDA Adverse Event Injury Summary report: N

0010206 COMPOSIX KUGEL OVAL 8 X 10

MDR report key: 402571 · Received June 26, 2002

Report

Report Number
1213643-2002-00034
Event Type
Injury
Date Received
June 26, 2002
Date of Event
May 1, 2002
Report Date
June 25, 2002
Manufacturer
C.R. BARD, INC. (PUETRO 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 0010206 COMPOSIX KUGEL OVAL 8 X 10 350101106 KUGEL PATCH FTL C.R. BARD, INC. (PUETRO RICO) * UNK

Patients

Seq Age Sex Outcome Treatment
1 * Required Intervention