BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HERNIA MESH - POLYPROPYLENE MESH

    MDR report key: 7457703 · Received April 24, 2018

    Report

    Report Number
    MW5076694
    Event Type
    Injury
    Date Received
    April 24, 2018
    Date of Event
    July 7, 2015
    Report Date
    April 14, 2018
    Manufacturer
    DAVOL INC., SUB C. R. BARD, INC.
    Product Code
    FTL
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    HAD INGUINAL LAPAROSCOPIC HERNIA SURGERY, MESH INSTALLED BY DR (B)(6). BARD-DAVOL MESH, BARD MESH, CAT # 0112720 POLYPROPYLENE MESH. CONSISTENT RECURRENT PAIN, BOTH PERSISTENT MID LEVEL PAIN, AND RECURRENT VERY INTENSE SHARP NEEDLE PAIN IN THE AREA OF MESH IMPLANT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    295973 HERNIA MESH - POLYPROPYLENE MESH MESH, SURGICAL, POLYMERIC FTL DAVOL INC., SUB C. R. BARD, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR Disability