FDA Adverse Event Injury Summary report: N

I-STOP

MDR report key: 4366446 · Received December 19, 2014

Report

Report Number
3006302280-2014-00007
Event Type
Injury
Date Received
December 19, 2014
Date of Event
February 18, 2008
Report Date
December 17, 2014
Manufacturer
CL MEDICAL
Product Code
FTL
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
CA, 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 INCORRECT, REF. UNK). PATIENT COMPLAINED ABOUT EROSION, DYSPAREUNIA, PAIN, URINARY TRACT INFECTIONS, WORSENED INCONTINENCE AND NEW ONSET URGE INCONTINENCE FOLLOWING REVISION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
836696 I-STOP NONE FTL CL MEDICAL UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK