FDA Adverse Event Injury Summary report: N

I-STOP

MDR report key: 3574770 · Received January 14, 2014

Report

Report Number
3006302280-2013-00007
Event Type
Injury
Date Received
January 14, 2014
Date of Event
January 1, 2007
Report Date
December 13, 2013
Manufacturer
CL MEDICAL
Product Code
FTL
Adverse Event
Yes
Report Source
Distributor report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PATIENT ALLEGEDLY IMPLANTED WITH A CL MEDICAL I-STOP (LOT UNK, REF. NO. UNK). PATIENT COMPLAINED ABOUT EROSION. CONFUSION ABOUT THE NAME OF THE DEVICE: I-STOP TVM. IS IT AN I-STOP, A TVM, OR BOTH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
35686 I-STOP NONE FTL CL MEDICAL UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK UNK - PROBABLY GYNECARE TVM