BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BARD PERFIX PLUG

    MDR report key: 6621495 · Received June 6, 2017

    Report

    Report Number
    MW5070241
    Event Type
    Injury
    Date Received
    June 6, 2017
    Date of Event
    January 5, 2012
    Report Date
    June 6, 2017
    Manufacturer
    C. R. BARD INC.
    Product Code
    FTL
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OR, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I HAD A HERNIA REPAIRED WITH A BARD MESH AND A BARD PERFIX PLUG (LOT NUMBER HUVJ0351). ALCOHOL USE TO ALLEVIATE THE PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    397877 BARD PERFIX PLUG SURGICAL MESH FTL C. R. BARD INC. HUVJ0351
    397878 BARD MESH SURGICAL MESH FTL C. R. BARD INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 56 YR Other| R