FDA Adverse Event Injury Summary report: N

C.R. BARD/ DAVOL MARLEX PART NUMBERS 0112650, 0112660, 0112680

MDR report key: 7525404 · Received May 17, 2018

Report

Report Number
MW5077291
Event Type
Injury
Date Received
May 17, 2018
Report Date
May 16, 2018
Manufacturer
CR BARD/ DAVOL
Product Code
FTL
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

I HAD HERNIA SURGERY IN 2006 AND HAVE OVER THE YEARS HAD PAIN IN MY GROIN, ABDOMEN AND BACKSIDE AREA. I WAS NOT NOTIFIED BY THE MANUFACTURER, DOCTORS OR HOSPITAL OF COMPLICATIONS I MAY HAVE DUE TO THE MESH PLACED INSIDE OF ME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
366641 C.R. BARD/ DAVOL MARLEX PART NUMBERS 0112650, 0112660, 0112680 MESH FTL CR BARD/ DAVOL
366642 C.R. BARD/ DAVOL MARLEX PART NUMBERS 0112650, 0112660, 0112680 MESH FTL CR BARD/ DAVOL
366643 C.R. BARD/ DAVOL MARLEX PART NUMBERS 0112650, 0112660, 0112680 MESH FTL CR BARD/ DAVOL

Patients

Seq Age Sex Outcome Treatment
1 37 YR Hospitalization| L| O| R| S