BEUDAMED
    FDA Adverse Event Injury Summary report: N

    0112760-BARD MESH MED PERFIX

    MDR report key: 490857 · Received October 16, 2003

    Report

    Report Number
    1213643-2003-00075
    Event Type
    Injury
    Date Received
    October 16, 2003
    Report Date
    September 19, 2003
    Manufacturer
    C.R. BARD, INC. (PUERTO RICO)
    Product Code
    FTL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    INFECTION - 2 PATIENTS

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 0112760-BARD MESH MED PERFIX 350102102-MESH PLUGS FTL C.R. BARD, INC. (PUERTO RICO) * 43FMD315

    Patients

    Seq Age Sex Outcome Treatment
    1 * Life Threatening