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 |