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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DAVOL INC., SUB. C.R. BARD, INC. BARD FLAT MESH; SURGICAL MESH

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DAVOL INC., SUB. C.R. BARD, INC. BARD FLAT MESH; SURGICAL MESH Back to Search Results
Catalog Number UNKAA030
Device Problems Material Fragmentation (1261); Migration or Expulsion of Device (1395); Defective Device (2588)
Patient Problems Unspecified Infection (1930); Hernia (2240); Bowel Perforation (2668)
Event Date 08/10/2019
Event Type  Injury  
Manufacturer Narrative
At this time no conclusions can be made.The patient's attorney alleges bowel perforation, infection, hernia recurrence, mesh migration, fragmentation, fistula, pain, erythema and swelling requiring medical intervention; however, no details have been provided.Review of the adverse reaction section of the ifu states that adhesions, inflammation, extrusion, fistula formation, hernia recurrence, erosion and migration of the mesh are possible complications.No lot number has been provided; therefore, a review of the manufacturing records is not possible.Should additional information be provided a supplemental emdr will be submitted.
 
Event Description
Per patient email (pro-se): ¿i will be filing a lawsuit for my bard hernia mesh failure resulting in reconstructive major surgery damaged intestines, damaged liver, damaged bladder and adding an additional 8 new hernias from the sutures, pain and suffering since 2009, misdiagnosis for liver damage, not the hernia mesh, high blood pressure as a result of the mesh relocating migrating, a strangulated colon, a strangulated intestine as well as the new hernias are small but complicated areas near the liver and ribs.The surgeon may not be able to fix them, the extent of the internal organ damage is not yet known.The surgery must be performed with exploratory surgery.Major surgery to locate the missing migrated mesh.And investigate the open intestine repair it and search for other damages it caused to the liver and possibly the bladder as well.For 5 years now my blood pressure keeps rising.I am (b)(6) pounds, not overweight my liver was not the cause of the pain and suffering.Many years ago i had a fistula for my bladder and intestine.This also may be a result of the failed mesh.I have been told by the surgeon it will take a year to finish my surgeries if some are even possible.As a note, she said i may not be able to have all the new hernias repaired do to the complexity of the new hernias and locations all around the old mesh location the mesh has caused multiple emergency room visits over the years with no direct cause of the pain and was misdiagnosed many times as liver or pancreas and not the hernia mesh that was in the exact same place.2 doctors in (b)(6) and (b)(6) all had no idea of why the swelling and pain were there.It was only an emergency room visit to (b)(6) and the red rash looking ball and swelling that they took a closer look and found 1 new large hernia.After more tests in (b)(6) its found there are now over 8 verified and possible 12 new hernias in total from the migration of the old mesh.The surgery as any could result in my death.As my digestive tract must be removed to fish out the pieces of mesh that are evading parts of my body causing pain discomforts infections leaking of intestines and more.As i had a disagreement with 1 attorney already i decided to do this pro se, so i am fully aware i have bard mesh on the lawsuit list.Attached are just some of my doctor's visits.¿ per medical records: between (b)(6) 2019 and (b)(6) 2020 the patient had multiple visits to the hospital er, his primary care doctor¿s office and a consultation with a urologist with complaints of abdominal pain, epigastric pain and urinary issues.Per the primary care office visit notes on (b)(6) 2019, a recommendation to consult with a general surgeon with no reason documented.On (b)(6) 2019, the patient consulted with a surgeon as a new patient who ordered an ultrasound of the abdomen wall and lower back.The surgeon consultation details and the diagnostic test results were not included in the information received.
 
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Brand Name
BARD FLAT MESH
Type of Device
SURGICAL MESH
Manufacturer (Section D)
DAVOL INC., SUB. C.R. BARD, INC.
100 crossings blvd.
warwick RI 02886
Manufacturer (Section G)
BARD SHANNON LIMITED 3005636544
san geronimo industrial park
lot #1, road #3, km 79.7
humacao PR 00791
Manufacturer Contact
andrew topoulos
100 crossings blvd.
warwick, RI 02886
4018258495
MDR Report Key9935800
MDR Text Key190898370
Report Number1213643-2020-03267
Device Sequence Number1
Product Code FTL
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
PREAMENDMENT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer,other
Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date 04/07/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/08/2020
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberUNKAA030
Was Device Available for Evaluation? No
Date Manufacturer Received03/31/2020
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Life Threatening; Required Intervention;
Patient Age49 YR
Patient Weight79
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