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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DAVOL INC., SUB. C.R. BARD, INC. BARD FLAT MESH; SURGICAL MESH

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DAVOL INC., SUB. C.R. BARD, INC. BARD FLAT MESH; SURGICAL MESH Back to Search Results
Catalog Number 0112720
Device Problems Defective Device (2588); Insufficient Information (3190); Patient Device Interaction Problem (4001)
Patient Problems Abscess (1690); Unspecified Infection (1930); Inflammation (1932); Necrosis (1971); Pain (1994); Seroma (2069); Disability (2371); Fibrosis (3167); Drug Resistant Bacterial Infection (4553)
Event Date 04/18/2006
Event Type  Injury  
Manufacturer Narrative
To date, limited information has been provided.Based on the limited information available at this time, we are unable to determine to what extent, if any, the bard device may have caused or contributed to the events as alleged.Regarding infection, the warning section of the ifu states "if one develops, treat the infection aggressively.Consideration should be given regarding the need to remove the mesh.An unresolved infection may require removal of the device." review of the device history records found lot was manufactured to specification.No anomalies identified.If additional information is obtained, a supplemental mdr will be submitted.Not returned.
 
Event Description
It is alleged by the patients attorney that on (b)(6) 2006, the patient underwent surgery for repair of a large epigastric hernia.As reported, a bard/davol marlex, (b)(4), lot number 43kpd179 was implanted to repair the hernia defect.It is alleged that on (b)(6) 2006, the patient underwent an additional surgery to remove infected hernia mesh.As alleged, the patient was injured severely and permanently and has suffered and will continue to suffer physical pain due to the alleged defective marlex.
 
Event Description
It is alleged by the patients attorney that on (b)(6) 2006, the patient underwent surgery for repair of a large epigastric hernia.As reported, a bard/davol marlex, reference number 0112720, lot number 43kpd179 was implanted to repair the hernia defect.It is alleged that on (b)(6) 2006, the patient underwent an additional surgery to remove infected hernia mesh.As alleged, the patient was injured severely and permanently and has suffered and will continue to suffer physical pain due to the alleged defective marlex.Addendum per additional information provided: (b)(6) 2006 - patient was diagnosed with large epigastric hernia thereby underwent open repair with implant of bard mesh (bard flat mesh).Per operative notes, ¿a large hernia sac was identified and removed away.A bard mesh was placed and sutured.¿ (b)(6) 2016 - patient had hospital visit for catheter placement under ultrasound guidance.(b)(6) 2006 - patient was diagnosed with infected ventral hernia mesh thereby underwent repair with removal of mesh.Per operative notes, ¿all the pus was suctioned in an abscess cavity and then the mesh was removed from the anterior abdominal wall.¿ attorney alleges that the patient had abscess, pain, seroma, infections, emotional injuries and others such as removal, dizziness, and acid reflux.
 
Manufacturer Narrative
To date, limited information has been provided.Based on the limited information available at this time, we are unable to determine to what extent, if any, the bard device may have caused or contributed to the events as alleged.Regarding infection, the warning section of the ifu states "if one develops, treat the infection aggressively.Consideration should be given regarding the need to remove the mesh.An unresolved infection may require removal of the device." review of the device history records found lot was manufactured to specification.No anomalies identified.Addendum: h11: this supplemental emdr is submitted to document additional information provided and to correct the manufacturing date.Based on the additional information received, there is no change to initial determination, no conclusions can be made.Per medical records review, about 3 months post implant of bard flat mesh, patient was diagnosed with infection, seroma, abscess, necrosis, inflammation and fibrosis thereby underwent repair with explant of mesh.The instructions-for-use supplied with the device lists seroma and inflammation as possible complications.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.H3 other text : not returned.
 
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Brand Name
BARD FLAT MESH
Type of Device
SURGICAL MESH
Manufacturer (Section D)
DAVOL INC., SUB. C.R. BARD, INC.
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
4018258495
MDR Report Key7155073
MDR Text Key96059796
Report Number1213643-2017-01143
Device Sequence Number1
Product Code FTL
UDI-Device Identifier00801741016561
UDI-Public(01)00801741016561
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
PREAMENDMENT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Consumer
Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date 01/23/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/29/2017
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Expiration Date11/28/2010
Device Catalogue Number0112720
Device Lot Number43KPD179
Was Device Available for Evaluation? No
Event Location Home
Date Manufacturer Received01/16/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured11/17/2005
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Disability; Required Intervention;
Patient Age49 YR
Patient SexFemale
Patient Weight81 KG
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