FDA Adverse Event Other Summary report: N

BARD COMPOSIX KUGEL HERNIA PATCH

MDR report key: 871331 · Received June 22, 2007

Report

Report Number
MW5002799
Event Type
Other
Date Received
June 22, 2007
Date of Event
May 31, 2007
Report Date
June 22, 2007
Manufacturer
C.R. BARD INC.
Product Code
FTL
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
WV, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

REMOVAL OF KUGEL MESH DUE TO RECURRENT VENTRAL HERNIA/INFECTED MESH. DATES OF USE: APPROX SIX MONTHS 2006 - 2007. DIAGNOSIS: VENTRAL HERNIA REPAIR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BARD COMPOSIX KUGEL HERNIA PATCH KUGEL PATCH FTL C.R. BARD INC. 43LPD513

Patients

Seq Age Sex Outcome Treatment
1 YR Other