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 |