BEUDAMED
    FDA Adverse Event Injury Summary report: N

    0112770-BARD MESH LARGE PREFIX

    MDR report key: 465714 · Received June 11, 2003

    Report

    Report Number
    1213643-2003-00047
    Event Type
    Injury
    Date Received
    June 11, 2003
    Date of Event
    May 12, 2003
    Report Date
    May 15, 2003
    Manufacturer
    C.R. BARD, INC. (PUERTO RICO)
    Product Code
    FTL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT INFECTION. 3 DAYS POST-OP. QUESTIONNAIRE FAXED TO CUSTOMER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 0112770-BARD MESH LARGE PREFIX 350102102-MESH PLUGS FTL C.R. BARD, INC. (PUERTO RICO) * 43LMD065

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention