BEUDAMED
    FDA Adverse Event Injury Summary report: N

    0113680-COMPOSIX MESH 6 X 8

    MDR report key: 495434 · Received November 12, 2003

    Report

    Report Number
    1213643-2003-00080
    Event Type
    Injury
    Date Received
    November 12, 2003
    Date of Event
    October 9, 2003
    Report Date
    October 17, 2003
    Manufacturer
    C.R. BARD, INC. (PUERTO RICO)
    Product Code
    FTL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ND, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT INFECTION

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 0113680-COMPOSIX MESH 6 X 8 350101104-MESH COMPOSIX FTL C.R. BARD, INC. (PUERTO RICO) * 43ELD087

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention