BEUDAMED
    FDA Adverse Event Injury Summary report: N

    I-STOP

    MDR report key: 4366506 · Received December 19, 2014

    Report

    Report Number
    3006302280-2014-00003
    Event Type
    Injury
    Date Received
    December 19, 2014
    Date of Event
    April 13, 2012
    Report Date
    May 29, 2014
    Manufacturer
    CL MEDICAL
    Product Code
    FTL
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    TX, 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
    836801 I-STOP NONE FTL CL MEDICAL UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK REPLIFORM MESH: MFR BOSTON SCIENTIFIC| POP MESH: MFR COLOPLAST-RESTORELLE MESH