FDA Adverse Event
Injury
Summary report: N
I-STOP
MDR report key: 4366443
·
Received December 19, 2014
Report
- Report Number
- 3006302280-2014-00004
- Event Type
- Injury
- Date Received
- December 19, 2014
- Date of Event
- April 13, 2012
- Report Date
- May 29, 2014
- Manufacturer
- CL MEDICAL
- Product Code
- OTN
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- MS, 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. UNK). PATIENT COMPLAINED ABOUT INJURIES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 836693 | I-STOP | NONE | OTN | CL MEDICAL | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |