FDA Adverse Event Injury Summary report: N

0123113-MESH COMPOSIX EX

MDR report key: 427872 · Received November 9, 2002

Report

Report Number
1213643-2002-00055
Event Type
Injury
Date Received
November 9, 2002
Report Date
November 8, 2002
Manufacturer
C.R. BARD, INC. (PUERTO RICO)
Product Code
FTL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PT INFECTION - IDENTIFIED AS MRSA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 0123113-MESH COMPOSIX EX 350101104-MESH COMPOSIX FTL C.R. BARD, INC. (PUERTO RICO) * 43CMD169

Patients

Seq Age Sex Outcome Treatment
1 * Required Intervention