FDA Adverse Event Injury Summary report: N

MESH SOFRADIM - PARIETEX¿ PROGRIP¿

MDR report key: 8352076 · Received February 19, 2019

Report

Report Number
9615742-2019-00372
Event Type
Injury
Date Received
February 19, 2019
Report Date
February 19, 2019
Manufacturer
SOFRADIM PRODUCTION SAS
Product Code
FTL
UDI-DI
10884521177697
PMA / PMN Number
K081050
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

THE PATIENT¿S ATTORNEY ALLEGED A DEFICIENCY AGAINST THE DEVICE. THE PRODUCT WAS USED FOR THERAPEUTIC TREATMENT OF A RIGHT INGUINAL HERNIA. IT WAS REPORTED THAT AFTER IMPLANT, THE PATIENT EXPERIENCED PAIN AND RECURRENCE. THE DEVICE HAD BEEN USED WITH BARD 0112760 PERFIX PLUG, LOT# HUVB1262. POST-OPERATIVE PATIENT TREATMENT INCLUDED REMOVAL SURGERY ((B)(6) 2011).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
144677 MESH SOFRADIM - PARIETEX¿ PROGRIP¿ MESH, SURGICAL, POLYMERIC FTL SOFRADIM PRODUCTION SAS TEM1208GR SKJ00340 10884521177697

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention