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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 Unsealed Device Packaging (1444)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/01/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
As reported, during a procedure using 3dmax mesh it was noticed that the inner sterile package was "leaking air".The sample was not returned for evaluation however photographs were provided.The photos provided show that the inner tyvek pouch is opened partially from the chevron end; the mesh remains within the pouch.There is a visible seal transfer that can be seen in the photos indicating the tyvek pouch was sealed at some point.However, review of the photos does not help to determine a cause for the reported condition that the inner sterile package was "leaking air." based on the information available, and in the absence of the physical sample for evaluation, no definitive conclusions can be drawn.Review of manufacturing records confirms product was manufactured to specification.To date, this is the only reported complaint from 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 procedure using 3dmax mesh it was noticed that the inner sterile package was "leaking air".Reportedly the product was observed to have leakage at the edges of the packaging, the outer box was completely sealed prior to opening, and the product had not been opened before use in the operating room.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 Key25524204
Report Number1213643-2026-00761
Device Sequence Number18826671
Product Code FTL
UDI-Device Identifier00801741030727
UDI-Public(01)00801741030727(11)250411(17)300328(10)HUKR0323
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,Health Professional,User Facility,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 06/05/2026
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 NumberHUKR0323
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 06/01/2026
Initial Report FDA Received Date06/16/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured04/11/2025
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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