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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 LIGHT; SURGICAL MESH

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DAVOL INC., SUB. C.R. BARD, INC. -1213643 3DMAX LIGHT; SURGICAL MESH Back to Search Results
Catalog Number 0117312
Medical Device Problem Code Patient-Device Incompatibility (2682)
Health Effect - Clinical Code Hernia (2240)
Date of Event 01/29/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
As reported the patient underwent bilateral inguinal hernia repair and was implanted with 3dmax light mesh.One year post implantation the patient had a left inguinal hernia recurrence.Based on the information available to date, no conclusions can be made as to the degree to which the implant may have caused or contributed to the patient's postoperative complication.Hernia recurrence is a clinically understood potential complication of surgery/use of the device and is identified in the instructions-for-use supplied with the device, as a possible complication.Review of manufacturing records confirms the product was manufactured to specification.To date, this is the only reported complaint from this manufacturing lot of (b)(4) units.Note the date of event (29-jan-2026) is estimated based on the information provided.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, on (b)(6) 2025 the patient underwent bilateral inguinal hernia repair and was implanted with 3dmax light mesh.One year post implantation the patient had an asymptomatic left inguinal hernia recurrence.There was no hernia recurrence with the right sided repair.As reported the patient has no history or risk factors that could explain the recurrence and the doctor has requested a ct scan.
 
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Brand Name
3DMAX LIGHT
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 Key24583336
Report Number1213643-2026-00326
Device Sequence Number10355677
Product Code FTL
UDI-Device Identifier00801741031045
UDI-Public(01)00801741031045(11)240619(17)290528(10)HUJT0895
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
K091659
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Reporter Type Manufacturer
Report Source Other,Foreign,User Facility,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 02/26/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Operator of Device Health Professional
Device Catalogue Number0117312
Device Lot NumberHUJT0895
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/23/2026
Initial Report FDA Received Date03/12/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured06/19/2024
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 Required Intervention;
Patient SexUnknown
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