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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 UNKAA030
Device Problems Material Erosion (1214); Defective Device (2588); Material Deformation (2976)
Patient Problems Adhesion(s) (1695); Erosion (1750); Disability (2371)
Event Type  Injury  
Manufacturer Narrative
At this time no conclusions can be made.The patient's attorney alleges that the patient had subsequent surgical intervention for mesh explant, erosion, hardening, adhesions, hernia recurrence, scarring, chronic pain and permanent injury; however, no details have been provided.No lot number has been provided; therefore, a review of the manufacturing records is not possible.Should additional information be provided a supplemental emdr will be submitted.Not returned.
 
Event Description
Attorney alleges that the patient was implanted with an unspecified bard mesh (bard flat mesh) and three unspecified non bard/ davol meshes.As reported, the patient had a hernia and or/ recurrent hernias that required surgical intervention for repair.It is alleged that following the surgeries, the patient experienced pain in the abdominal region.It is alleged that the surgical operations to remove the eroded surgical mesh spanned considerable periods of time, and it is unclear whether the all of the remnants of the mesh systems had been removed.It is also alleged that the patient suffered debilitating injuries, including; mesh erosion, hardening, chronic pain and adhesions, which required and will continue to require healthcare services.It is alleged that the mesh systems were defective, had eroded and caused dense scarring.The patient had suffered and would continue to suffer chronic debilitating pain, severe and permanent injuries and experienced emotional distress.
 
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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 Key9917681
MDR Text Key186722898
Report Number1213643-2020-03203
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 04/02/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/02/2020
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberUNKAA030
Was Device Available for Evaluation? No
Date Manufacturer Received03/26/2020
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
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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