MAUDE MDR 8196901

MDR report key
8196901
Report number
1018233-2018-06158
Event key
0
Event type
3
Date received
2018-12-26
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
YONIC ANDERSON
Address
8195 INDUSTRIAL BLVD COVINGTON GA 30014 US
Phone
770-770-7707
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1BARD? INTRA-ABDOMINAL PRESSURE MONITORING DEVICEINTRA-ABDOMINAL PRESSURE MONITORING DEVICEC.R. BARD, INC. (COVINGTON) -1018233PHUIAP001IAP001NGCS1305Y R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-12-260

Event Narratives#

N

Patient 1

THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED.

D

Patient 1

IT WAS REPORTED THAT THE DEVICE HAD A HOLE IN IT. THIS WAS NOTED PRIOR TO USE.