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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 MID; SURGICAL MESH

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DAVOL INC., SUB. C.R. BARD, INC. -1213643 3DMAX MID; SURGICAL MESH Back to Search Results
Catalog Number 0116321
Medical Device Problem Code Material Split, Cut or Torn (4008)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/23/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
As reported, a piece of 3dmax mid mesh ripped when the mesh was stretched prior to implanting to make sure it is not defective.Visual evaluation of the sample finds there is multiple cracks/tears in the edge seal of the mesh.The condition of the mesh is consistent with that of a mesh that had been rolled or folded for attempted use.Based on the sample condition, the likely root cause is the edge seal was inadvertently damaged/ torn while the user was stretching the mesh prior to use.No manufacturing anomalies were found.Review of manufacturing records confirms the product was manufactured to specification.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 procedure using 3dmax mid mesh surgeon followed their normal routine in which the mesh was stretched prior to implanting to make sure it is not defective and the mesh ripped.Another 3dmax mid mesh was used to complete the procedure.There was no patient harm or injury.
 
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Brand Name
3DMAX MID
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 Key24326900
Report Number1213643-2026-00125
Device Sequence Number21213186
Product Code FTL
UDI-Device Identifier00801741200786
UDI-Public(01)00801741200786(17)271228(10)HUHN1555
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
K200818
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,User Facility,Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 01/28/2026
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 Number0116321
Device Lot NumberHUHN1555
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/10/2026
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/23/2026
Initial Report FDA Received Date02/12/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured03/23/2023
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 SexUnknown
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