PHASIX MESH
Received Jun 10, 2025 · Event occurred Jan 8, 2019
Report 1213643-2025-00460 · MDR key 22177093
Device
Generic name
Surgical Mesh
Manufacturer
Davol Inc., Sub. C.r. Bard, Inc. -1213643Model number
NACatalog number
1190200
Lot number
HUAP1159
Product problems
- Material Deformation
- Material Deformation
Patient
74 YR · Male
- Hernia
- Hernia
Narrative
Additional Manufacturer Narrative
ROOT CAUSE IS INCONCLUSIVE, NO CONCLUSION CAN BE MADE AS TO THE EXTENT TO WHICH THE IMPLANT MAY HAVE CAUSED OR CONTRIBUTED TO THE PATIENT'S POSTOPERATIVE COURSE. NOTE, THE MANUFACTURING DATE (15-FEB-2016) IS CONSIDERED TO BE A BEST ESTIMATE. THIS EMDR REPRESENTS THE BARD/DAVOL PHASIX MESH (DEVICE #2). ADDITIONAL SUPPLEMENTAL EMDR'S WERE SUBMITTED TO REPRESENT THE BARD/DAVOL VENTRIO ST (DEVICE #1) AND ADDITIONAL EMDR WAS SUBMITTED TO REPRESENT THE BARD/DAVOL VENTRALEX ST PATCH (DEVICE #3). 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.
Description of Event or Problem
PER INFORMATION PROVIDED: ON (B)(6) 2016 - PATIENT WAS DIAGNOSED WITH LEFT LARGE INCARCERATED INCISIONAL HERNIA AND RECURRENT INCARCERATED UMBILICAL HERNIA THEREBY UNDERWENT OPEN REPAIR WITH THE IMPLANT OF VENTRIO ST (DEVICE #1) AND PHASIX MESH (DEVICE #2) FOR OPEN LEFT FLANK REPAIR AND VENTRALEX ST (DEVICE #3) FOR OPEN UMBILICAL REPAIR. PER OPERATIVE NOTES, "ON LEFT FLANK, A LARGE HERNIA DEFECT WAS NOTED. A VENTRAL MESH WAS PLACED IN CIRCUMFERENTIAL FASHION, ANOTHER MESH (VENTRIO ST - DEVICE #1, PHASIX MESH - DEVICE #2) WAS PLACED AND SUTURED. ON UMBILICAL AREA, THE HERNIA DEFECT WAS NOTED AND REDUCED. A VENTRALEX ST (DEVICE #3) WAS PLACED AND SUTURED." ON (B)(6) 2019 - PATIENT WAS DIAGNOSED WITH RECURRENT VENTRAL INCISIONAL HERNIA THEREBY UNDERWENT OPEN REPAIR WITH THE REMOVAL OF MESH (DEVICE # 1, #2) AND IMPLANT OF PHASIX ST MESH (DEVICE #4). PER OPERATIVE NOTES, "THE PREVIOUSLY PLACED MESH WAS FRACTURED AND RUPTURED TO THE EXTERNAL OBLIQUE. THE MESH WAS REMOVED. A PHASIX ST MESH (DEVICE #4) WAS SECURED WITH SUTURES IN A ONLAY FASHION. ANOTHER PIECE OF MESH (DEVICE #4) WAS SECURED AND SUTURED." ON (B)(6) 2019 - PATIENT WAS DIAGNOSED WITH VENTRAL INCISIONAL HERNIA WITH INCARCERATED SMALL BOWEL THEREBY UNDERWENT LAPAROSCOPIC REPAIR WITH THE IMPLANT OF PHASIX MESH WITH OPEN POSITIONING SYSTEM (DEVICE #5). PER OPERATIVE NOTES, "THE HERNIA SAC WAS IDENTIFIED AND REDUCED. A SMALL HERNIA WITH INCARCERATION WAS NOTED. A PHASIX MESH WITH OPEN POSITIONING SYSTEM (DEVICE #5) WAS PLACED."