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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: C.R. BARD INC. (COVINGTON) -1018233 Alyte¿ Y-Mesh Graft; Pelvic Mesh

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C.R. BARD INC. (COVINGTON) -1018233 Alyte¿ Y-Mesh Graft; Pelvic Mesh Back to Search Results
Catalog Number Y100
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes Adhesion(s) (1695); Erosion (1750); Fistula (1862); Pain (1994); Urinary Tract Infection (2120); Abnormal Vaginal Discharge (2123); Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available (4581)
Date of Event 06/23/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete, a supplemental report will be filed.Udi format updated with available product information per gudid.H11: sections a through f - the information provided by bd represents all 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
It was reported by the patient's attorney that as a result of having the product implanted, the patient has experienced continuous foul smelling and feculent vaginal discharge, recurrent e.Coli urinary tract infections, passage of gas through vagina, yellow or brown discharge with blood mixed, foul smelling discharge, rectovaginal fistula, mesh erosion, complicated and prolonged extensive surgery, pain, mild ileus, chronic pain, sexual dysfunction, multiple revision surgeries, colovaginal fistula, dense adhesions of the colon to the posterior vagina and adhesions of the ascending and descending colon to the pelvic sidewalls, prolonged post operative complications.
 
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Brand Name
Alyte¿ Y-Mesh Graft
Common Device Name
Pelvic Mesh
Manufacturer (Section D)
C.R. BARD INC. (COVINGTON) -1018233
8195 industrial blvd
covington GA 30014
Manufacturer (Section G)
C.R. Bard Inc. (Covington) -1018233
8195 industrial blvd
covington GA 30014
Manufacturer Contact
xeeroy rada
8195 industrial blvd
covington, GA 30014
+1(770)784-6100
MDR Report Key25854752
Report Number1018233-2026-04707
Device Sequence Number17503748
Product Code OTO
UDI-Device Identifier00801741016158
Combination Product (Y/N)N
Initial Reporter StateMS
Initial Reporter CountryUS
PMA/510(K) Number
K101722
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2014
Reporter Type Manufacturer
Report Source Other
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 08/17/2026
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 Expiration Date06/30/2016
Device Catalogue NumberY100
Device Lot NumberHUYE0023
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/23/2026
Supplement Date Received by Manufacturer08/17/2026
Initial Report FDA Received Date07/17/2026
Supplement Report FDA Received Date08/18/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured06/12/2014
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 Hospitalization;
Patient Age64 YR
Patient SexFemale
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