FDA Adverse Event Injury Summary report: N

I-STOP

MDR report key: 3597271 · Received January 28, 2014

Report

Report Number
3006302280-2013-00005
Event Type
Injury
Date Received
January 28, 2014
Date of Event
September 17, 2007
Report Date
December 13, 2013
Manufacturer
CL MEDICAL
Product Code
FTL
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
KY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PLAINTIFF'S LAWYER REPORTED THAT PATIENT ALLEGEDLY WAS IMPLANTED WITH A CL MEDICAL I-STOP (LOT UNK, REF. NO. UNK). PT COMPLAINED ABOUT PAIN, EROSION, ADD'L SURGERIES, INFECTIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
60680 I-STOP NONE FTL CL MEDICAL UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK