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 |