BEUDAMED
    FDA Adverse Event Injury Summary report: N

    0123460-MESH COMPOSIX EX

    MDR report key: 419888 · Received September 27, 2002

    Report

    Report Number
    1213643-2002-00049
    Event Type
    Injury
    Date Received
    September 27, 2002
    Report Date
    September 27, 2002
    Manufacturer
    C.R. BARD, INC. (PUERTO RICO)
    Product Code
    FTL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PATIENT SEROMA POST UMBILICAL HERNIA REPAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 0123460-MESH COMPOSIX EX 350101104-MESH COMPOSIX FTL C.R. BARD, INC. (PUERTO RICO) * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention