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U.S. Department of Health and Human Services

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

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DAVOL INC., SUB. C.R. BARD, INC. FLAT MESH; SURGICAL MESH Back to Search Results
Catalog Number UNKAA030
Device Problems Defective Device (2588); Insufficient Information (3190)
Patient Problems Inflammation (1932); Perforation (2001); Obstruction/Occlusion (2422)
Event Date 03/11/2017
Event Type  Injury  
Manufacturer Narrative
At this time no conclusions can be made to what extent the bard/davol flat mesh may have caused or contributed to the reported event.The cause of the patient postoperative complications cannot be determined at this time.Inflammation is a known inherent risk of surgery and is listed in the instructions-for-use a possible complication.The patient's attorney alleges injuries; however, no details have been provided.Information is limited at this time.The exact day of implant is not reported therefore the date of (b)(6) 2007 has been used.Should additional information be provided a supplemental emdr will be submitted.Note: not returned.
 
Event Description
The following was alleged by the patient's attorney: (b)(6) 2007: the patient underwent an open umbilical hernia repair in which a marlex mesh was implanted in the patient during the procedure.On (b)(6) 2017: the patient underwent an emergency laparotomy, the surgeon noted patient needed to have repair to the small bowel due to obstruction, repair to the mid-ileal due to perforation and peritonitis.Patient still experienced severe abdominal pain and distention.On (b)(6) 2018: the patient was seen by doctor who after examination and evaluation discussed with patient the need for a ventral incisional hernia repair with mesh excision and component separation.The mesh has to be removed.Patient continues to experience complications related to the marlex mesh and he most likely will require additional surgeries to repair the damage from the product.The marlex mesh implanted in patient failed to reasonably perform as intended.The product therefore had to be surgically removed, necessitating further invasive surgery to repair the very issue that the marlex mesh was intended to repair.The patient has been injured, sustained severe and permanent pain, suffering, anxiety, depression, disability, impairment.The patient has been injured and sustained past and future severe pain, suffering, disability, impairment.Due to the alleged defective marlex mesh.
 
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Brand Name
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
jan ling
100 crossings blvd.
warwick, RI 02886
8015652663
MDR Report Key8245718
MDR Text Key132990162
Report Number1213643-2019-00243
Device Sequence Number1
Product Code FTL
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 consumer,other
Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date 01/14/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/14/2019
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue NumberUNKAA030
Was Device Available for Evaluation? No
Date Manufacturer Received12/27/2018
Was Device Evaluated by Manufacturer? No
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) Required Intervention; Disability;
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