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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DAVOL INC., SUB. C.R. BARD, INC. -1213643 3DMAX; SURGICAL MESH

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DAVOL INC., SUB. C.R. BARD, INC. -1213643 3DMAX; SURGICAL MESH Back to Search Results
Catalog Number 0115310
Medical Device Problem Code Material Split, Cut or Torn (4008)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/11/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
As reported, during a unilateral inguinal hernia repair, while opening the packaging, a "damaged" 3dmax mesh was discovered.The subject device was not available for evaluation.Based on the information available and without having the sample to evaluate, no conclusions can be made.A review of the manufacturing records was performed and found that the lot was manufactured to the specification.To date, this is the only reported complaint for this manufacturing lot of (b)(4) units.Note: section a through f - the information provided by bd represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
 
Event or Problem Description
As reported, during a unilateral inguinal hernia repair procedure, upon opening the packaging, a "damaged" 3dmax mesh was discovered.However, the outer packaging was found intact with no leaks and within its expiration date.Another mesh was used to complete the procedure.There was no patient injury.
 
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Brand Name
3DMAX
Common Device Name
SURGICAL MESH
Manufacturer (Section D)
DAVOL INC., SUB. C.R. BARD, INC. -1213643
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
8005566756
MDR Report Key24319976
Report Number1213643-2026-00107
Device Sequence Number18683364
Product Code FTL
UDI-Device Identifier00801741030727
UDI-Public(01)00801741030727(17)280228(10)HUHP2410
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K081010
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,Foreign,User Facility
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 01/22/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue Number0115310
Device Lot NumberHUHP2410
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/19/2026
Initial Report FDA Received Date02/12/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured04/03/2023
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexFemale
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