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